This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Breast, Subject name: Surgery
[{'content': 'All of the following statements about gynecomastia are true except: \nSelect and explain. \nA. Subcutaneous mastectomy is the initial treatment of choice, B. Seen in liver disease, C. There may be estrogen/testosterone imbalance, D. Can be drug induced', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. (a) Subcutaneous mastectomy is the initial treatment of choice(Ref: Schwartz 10/e p505-506)Management:* Androgen deficiency - testosterone administration* Medication induced - Discontinue it.* Danazol is also used. But androgenic side effects are common,* Surgical treatment is done for cases not responding to above treatments :Local excision, liposuction or subcutaneous mastectomy.', 'role': 'assistant'}]