Pseudogynecomastia is best described as

• A. Accumulation of adipose tissue in the breast area
• B. Presence of glandular tissue
• C. Palpable fibroglandular tissue
• D. Central skin changes

Answer: (A)

Pseudogynecomastia is about fatty enlargement of the breast, not gland growth. The hallmark is accumulation of adipose tissue in the breast area, which makes the breast appear larger but without a distinct, firm glandular mass beneath the nipple. In true gynecomastia, the issue is proliferation of fibroglandular tissue, typically felt as a firm, sometimes tender subareolar lump. So the option describing accumulation of fat best matches pseudogynecomastia. The other descriptions point to glandular tissue or a subareolar fibroglandular mass, which would indicate gynecomastia rather than pseudogynecomastia.