<prompt> All of the following statements about Gynaecomastia are true exceptSubcutaneous mastectomy is the initial treatment of choiceSeen in liver diseaseThere may be estrogen testosterone imbalanceCan be drug induced  <response>: Gynaecomastia is the hyperophy of amle breast which may be bilateral or unilateral. Its associated with estrogen ecxess , cirrhosis with liver failure to metabolise estrogens.Also associated with drugs likw cimetidine, digitalis anabolic steroids which increases estrogen levelsBailey and LovesSho practice of surgery.Edition 23.Pg no:770 