Imaging of male breast disease: the good, the bad and the ugly – A pictorial review

Viana, Marcela Pacheco; Tucunduva, Tatiana Cardoso de Mello; Torres, Ulysses S.; Aguillar, Vera Lucia Nunes; Bresciani, Bárbara Helou; Shimizu, Carlos; Chala, Luciano Fernandes; Barros, Nestor de; Mello, Giselle Guedes Netto de

doi:10.1016/j.clinimag.2020.06.025

Cited by 5 publications

(8 citation statements)

References 20 publications

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“…Involution and ductal atrophy occur in the male breast due to a signi cant increase in testosterone levels (19). Finally, microcalci cations and mass orientation may indicate ductal and stromal involvement (20).…”

Section: Discussionmentioning

confidence: 99%

Use of US BIRADS for the Differentiation of Male Breast Masses and Interobserver Agreement Assessment

Wang,

Dang,

Wang

et al. 2024

Preprint

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Purpose To investigate the efficiency of Breast Imaging Reporting and Data System (BIRADS) proposed by the American College of Radiology for male breast lesions and to evaluate assess inter-observer agreement. Methods Six breast radiologists were divided into three groups to retrospectively analyze 90 male breast nodules by BIRADS classifications. The area under the receiver operating characteristic curve (AUC), sensitivity, specificity, and accuracy were calculated for comparative analysis. Interobserver agreement was assessed. Results The group II showed the higher specificity (75.9%) than other two groups while the group III showed the best AUC, sensitivity and accuracy, which were 0.904, 97.2%, 62.9% and 76.7%, respectively. Besides, the whole of three groups expressed excellent ICC on 2(0.934) category and good on BIRADS 3 (0.677) category. The ICC of 4a (0.379) was expressed as poor level. The categories of 4b (0.483) ,4c (0.521) and5(0.491) was expressed as fair level. Only group I had significant difference with the group III in diagnostic effectiveness of the same systems among three groups. Conclusions Male sex did not have a large impact on the diagnosis of BIRADS and use of US BIRADS lexicon shows excellent or good levels of concordance for mass characterizations. But a lower concordance respect to BIRADS classifications in BIRADS 4 categories.

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Section: Discussionmentioning

confidence: 99%

Use of US BIRADS for the Differentiation of Male Breast Masses and Interobserver Agreement Assessment

Wang,

Dang,

Wang

et al. 2024

Preprint

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“…Male and female mammary glands exhibit significant differences in adulthood, serving distinct functions. At birth, both male and female breasts are comparable [4,5]. However, peripubertal hormonal changes lead to anatomical and functional differences between the genders.…”

Section: Male Breast Developmentmentioning

confidence: 99%

“…The pathologic conditions affecting the MB differ from those observed in women [7]. Invasive lobular carcinoma is rare in males, as the high levels of testosterone during puberty cause ductal involution and atrophy, inhibiting lobular development [4,5]. However, benign and malignant conditions affecting other anatomical components, including the stroma, fat tissue, and atrophic ducts, are more common [5].…”

Section: Benign Breast Diseasementioning

confidence: 99%

“…Invasive lobular carcinoma is rare in males, as the high levels of testosterone during puberty cause ductal involution and atrophy, inhibiting lobular development [4,5]. However, benign and malignant conditions affecting other anatomical components, including the stroma, fat tissue, and atrophic ducts, are more common [5]. MBC represents less than 1% of all breast cancer cases, but its incidence has been gradually increasing over the years [8].…”

Section: Benign Breast Diseasementioning

confidence: 99%

“…Clinically, gynecomastia presents as a subareolar palpable mass, often mobile and tender, or as a peri-areolar burning sensation; this is the most prevalent condition for males presenting with breast complaints [12]. In the case of diagnosis of gynecomastia at physical examination, imaging is not appropriate [5].…”

Section: Benign Breast Diseasementioning

confidence: 99%

See 2 more Smart Citations

Male Breast: A Review of the Literature and Current State of the Art of Diagnostic Imaging Work-Up

D’Angelo,

Portaluri,

Caprini

et al. 2023

Diagnostics

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Pathological conditions affecting the male breast (MB) share some similarities with those found in women, while others are specific to men. The first part of this review provides an overview of MB disorders, exploring the most common types of MB diseases. The second part then emphasizes the state-of-the-art approaches proposed in the literature for screening and follow-up with MB cancer patients, which highlights the importance of tailored strategies for diagnosis, follow-up, and identifying high-risk populations. Considering the increasing attention in recent years on the topic, transgender individuals are also included in this review. Together with the MB, it is an understudied category thus far. This review aims to raise awareness among radiologists that MBs should be approached differently from female breasts, contributing to the advancement of medical knowledge, improving patient outcomes, and promoting early detection of MB disorders. The review also provides an update on breast cancer and screening in the transgender population.

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Pictorial Review of Male Breast Disease

Wehring

Roark

Watson

et al. 2023

Curr Breast Cancer Rep

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Imaging of male breast disease: the good, the bad and the ugly – A pictorial review

Cited by 5 publications

References 20 publications

Use of US BIRADS for the Differentiation of Male Breast Masses and Interobserver Agreement Assessment

Use of US BIRADS for the Differentiation of Male Breast Masses and Interobserver Agreement Assessment

Male Breast: A Review of the Literature and Current State of the Art of Diagnostic Imaging Work-Up

Pictorial Review of Male Breast Disease

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