Presentation
A male patient presented with cancer right breast for CT staging work up assessment.
Patient Data
A known case of right breast cancer showing right breast mass measuring about 1.8 cm, with minimal prominent few right axillary lymph node.
No suspicious pulmonary lesions were seen. No sizable mediastinal, hilar, or axillary lymphadenopathy was seen. No pleural or pericardial effusions seen.
Liver is average size and density with no focal lesions or dilated intrahepatic biliary radicals seen The left adrenal gland is bulky with no obvious masses within. Unremarkable CT features of the gallbladder, CBD, portal vein, pancreas, spleen, right adrenal, kidneys (bilateral varying size simple cortical cysts seen, the largest one at the left lower pole measuring about 8.0 cm) urinary bladder, and visualized opacified bowel loops.
No sizable lymphadenopathy was seen. No ascites have seen.
Calcified atherosclerotic changes are seen in the visualized aorta.
The visualized osseous structures showing apart from right hip prosthesis is noted, no definite suspicious sclerotic or lytic lesions seen.
Impression: a known case of right breast cancer showing right breast mass and no suspicious distant metastasis.
A spiculated nodule is seen overlaying the right middle zone correlating with the patient clinical data of right breast mass.
Case Discussion
Male breast disease includes a wide spectrum of conditions. Many conditions and entities that affect the female breast may also affect the male breast.
Male breast cancer is exceptionally rare and only accounts for less than 0.25% of male malignancies and approximately 0.5-1% of all breast cancer (both genders)
This case was diagnosed by core biopsy as invasive ductal carcinoma and came for staging, showing a right breast mass and no definite distant metastasis.
Histopathology report:
The sections show features of invasive ductal carcinoma composed of cells arranged in nests and cords separated by desmoplastic stroma. There is ulceration of the skin and the tumor is seen extending to the ulcerated site. perineural invasion is noted.
DIAGNOSIS: invasive ductal carcinoma, NOS, overall grade 3
Surgery performed by Dr. Mohamad Naser, and my sincere thanks for him.
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