Gynaecomastia

Chapter 10 of Volume 4, Breast, Trunk, Lower Limb & Aesthetics. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

13 viva questions in this chapter

1. A 24-year-old man is referred with bilateral breast enlargement. How do you assess him?
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2. What is causing it, and what would you investigate?
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3. What is happening histologically, and does it matter?
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4. What medical treatment would you offer?
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5. How do you know this isn’t cancer?
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6. He wants surgery on the NHS. What do you tell him?
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7. How would you classify him, and how does that determine what you do?
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8. Which form of liposuction do you use, and why?
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9. Take me through your operation for a Simon IIa.
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10. He has significant skin excess. How do you deal with it?
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11. What are the complications, and how do you consent him?
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12. A 15-year-old is referred with gynaecomastia. Is he different?
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13. How does chest masculinisation in a trans man differ?
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