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Surgery Breast 808f0dde

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
High-Yield Explanation
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.

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