Clinics in diagnostic imaging (147)

Tj, Tan; Lc, Leong; Ls, Sim

doi:10.11622/smedj.2013130

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…[3]. The typical presentation of breast cancer onset in men is a unilateral painless palpable mass in a central sub-areolar location or eccentric to the nipple-areolar complex with early nipple involvement [4], [5]. According to literature data, most of male breast cancers are invasive ductal carcinoma (85–90%) [4], [6].…”

Section: Introductionmentioning

confidence: 99%

Male breast cancer: Modified radical mastectomy or breast conservation surgery? A case report and review of the literature

Giunta

Rossi

Toia

et al. 2017

International Journal of Surgery Case Reports

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IntroductionMale breast cancer (MBC) is a rare disease that accounts for <1% of breast cancer cases. The most common treatment is modified radical mastectomy (MRM). Recently, breast conservative surgery (BCS) is getting popular for MBC treatment. We report a case and reviewed the literature to investigate whether emerging BCS can be considered as an alternative of a more radical surgery.Presentation of caseA 46 y.o. patient, presented with a painless left breast lump over a period of six months. The patient underwent a quadrantectomy at another institution. Pathology revealed an intraductal carcinoma in close proximity to the margins of excision. Adjuvant hormonal therapy was proposed to the patient, who refused and was referred to our Institution. We performed a MRM and a sentinel lymph node biopsy (SLNB). A contralateral breast liposuction and an adenectomy were also performed. The patient underwent also a nipple-areolar complex reconstruction. The patient didn’t receive adjuvant therapy.DiscussionBoth oncological safety and satisfactory cosmetic outcomes are the goals of MBC treatment. No specific guidelines for MBC treatment have been proposed. MRM is currently the surgical gold standard of MBC (approximately 70% of all cases). Some authors reported that male BCS associated with radiation therapy is a feasible alternative MRM. Taking into account data from the literature and considering the previous surgery, in the case we report, we offered a MRM, SLNB and a contralateral breast symmetrization.ConclusionMRM with SLNB and reconstruction of male breast asymmetry should be still considered as the treatment of choice of MBC.

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Section: Introductionmentioning

confidence: 99%

Male breast cancer: Modified radical mastectomy or breast conservation surgery? A case report and review of the literature

Giunta

Rossi

Toia

et al. 2017

International Journal of Surgery Case Reports

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“…Benign male breast lesions resembling a malignancy on gray-scale and Color Doppler sonography show at least one of six criteria: an irregular shape, non-circumscribed margins, a heterogeneous internal echotexture, an echogenic interface, posterior acoustic shadowing, and increased internal vascularity (Yitta et al 2010; Cho and Park 2013; Tan et al 2013). Mimickers of breast malignacy include gynecomastia, fat necrosis, ruptured epidermal cyst, pseudoangiomatous stromal hyperplasia, subareolar abscess, intraductal papilloma, hematoma, and atypical fibroadenoma (Yitta et al 2010; Ng et al 2014; Cho and Park 2013).…”

Section: Discussion and Evaluationmentioning

confidence: 99%

Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review

Yuan

Hsu

et al. 2014

SpringerPlus

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IntroductionWe report a case of a 54-year-old male patient with a hard, painful nodule within his right breast which was misdiagnosed preoperatively as breast cancer.Case descriptionPreoperative work-up included physical examination, non-contrast chest computed tomography (CT), sonography, and sono-guided breast biopsy. Isolated breast panniculitis with vasculitis (BPWV), a rare disease, was diagnosed by histopathologic examination of tissue obtained from excisional biopsy.Discussion and EvaluationSubcutaneous panniculitis with or without vasculitis, a condition of nonsuppurative inflammatory process involving the subcutaneous fat layer of skin, is related to different causes. A palpable benign male breast lesion resembling a malignancy includes gynecomastia, panniculitis with or without vasculitis, fat necrosis, ruptured epidermal cyst, pseudoangiomatous stromal hyperplasia, subareolar abscess, intraductal papilloma, hematoma, and atypical fibroadenoma. To make an accurate preoperative diagnosis of a male breast mass, a physician has to carefully analyze various imaging findings. The cases of BPWV may present as an isolated breast lesion or as a component of a systemic disease. The diagnosis of the reported patient was compatible with an isolated BPWV because panniculitis and/or vasculitis were not present at other sites or organs at the time of diagnosis or during follow-up.ConclusionsExcisional biopsy and clinical data can provide the correct diagnosis and determined the appropriate treatment strategy of a male BPWV.

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Breast panniculitis with liquefactive fat necrosis: A case report

Zhang

Shi

2018

Exp Ther Med

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Panniculitis is a group of heterogeneous disorders characterized by inflammation of the subcutaneous adipose tissue. Panniculitis of breast tissue as the initial manifestation has rarely been reported and is often misdiagnosed. Breast panniculitis may cause substantial morbidity and early diagnosis and treatment are important for the prognosis of the disease. The present study has reported a case of panniculitis with inflammation of the mammary glands as the initial presentation and provided a detailed description of ultrasonography, X-ray, computed tomography, magnetic resonance imaging and other imaging features of breast panniculitis. The treatment and follow-up were also described. Following treatment with systemic corticosteroids combined with methotrexate and thalidomide for 2 months, the breast appeared to be normal without scar formation. The present case report provides a good reference for the future diagnosis and treatment of breast panniculitis.

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Clinics in diagnostic imaging (147)

Cited by 3 publications

References 7 publications

Male breast cancer: Modified radical mastectomy or breast conservation surgery? A case report and review of the literature

Male breast cancer: Modified radical mastectomy or breast conservation surgery? A case report and review of the literature

Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review

Breast panniculitis with liquefactive fat necrosis: A case report

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