Male right breast carcinoma

Case contributed by Dr Garth Kruger

Presentation

A 51 yr old male presents to his GP with a palpable right subareolar breast mass.

Patient Data

Age: 51 years
Gender: Male
Mammography

Spiculated lesion under the right nipple.

Ultrasound

The ultrasound images show a solid mass and the axilla ultrasound shows enlarged pathological nodes.

Case Discussion

This is a confirmed IDC right breast with positive metastatic disease on axilla node FNA.

This case is an illustration that not all subareolar mass lesions in men are gynaecomastia. There are several red flags in this case: the mass lesion on mammogram does not have the typical conical density extending posteriorly away from the nipple; the margins are irregular and the nodes are pathological on both mammogram and ultrasound. The ultrasound images in no way resemble the typical appearance of gynaecomastia. This solid mass is as tall as broad and again the triangular configuration of gynaecomastia is missing. 

Compare this case with ID 30195.

Compare both the mammogram and ultasound images with cases of gynaecomastia on this website for instance ID 23358.

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Case information

rID: 30787
Case created: 3rd Sep 2014
Last edited: 23rd Oct 2017
System: Breast
Inclusion in quiz mode: Included

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