All of the following statements about gynecomastia are true except:: (A) 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
Answer is A. 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.