<prompt> All of the following statements about gynecomastia are true except:Subcutaneous mastectomy is the initial treatment of choiceSeen in liver diseaseThere may be estrogentestosterone imbalanceCan be drug induced  <response>: Ans. a Subcutaneous mastectomy is the initial treatment of choiceRef: Schwartz 10e p505-506Management: 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. 