Invasive papillary carcinoma of the male breast: Report of a rare case and review of the literature

Abstract

Breast masses occur in men far less commonly than women. Papillary lesions of the male breast are rare and comprise a spectrum of lesions ranging from benign intraductal papilloma to intraductal papillary carcinoma and invasive papillary carcinoma. In this case report, a 78-year-old man presented with a subareolar painless mass. Fine needle aspiration cytology (FNAC) was performed. Cytologic examination revealed a cellular aspirate. A diagnosis of papillary lesion favoring papillary carcinoma was rendered. The patient underwent modified radical mastectomy, which showed invasive papillary carcinoma. As far as we know, only a few cases of invasive papillary carcinoma of the male breast have been published in the literature. To the best of our knowledge, this is the first case report of invasive papillary carcinoma of male breast in Malaysia. In this purview, we discuss papillary carcinoma of male breast with review of the relevant literature.

Invasive Solid Papillary Carcinoma of Male Breast: A Rare Case Report

“…The most common clinical presentation is a palpable mass. Serosanginous discharge has been reported in 25% of patients (4,15). The current patient had two palpable masses in the subareolar area.…”

“…The most common type of male breast cancer is invasive ductal carcinoma (IDC) (85% -95%) (4)(5)(6). Invasive papillary carcinoma is a rare histological type seen at the rate of 2%.…”

Enlarging unilateral breast mass in an adolescent male: an unusual presentation of intraductal papilloma

“…However, there are less than 15 reported cases in the literature of this lesion in the male population. To the best of our knowledge, our patient is the youngest male patient with the largest reported intraductal papilloma reported in the literature [2,[4][5][6][7]. The largest series of papillary breast lesions in male patients, as reported by Reid-Nicholson et al [6] from the Memorial Sloan-Kettering experience, included just 11 patients ranging in age from 23 to 78 years.…”

Intracystic Papillary Carcinoma in the Male Breast: A Rare Endpoint of a Wide Spectrum

“…However in view of the invasive potential it would be a safe practice to either do a sentinel biopsy or an axillary clearance [5, 6]. In the case presented, as histology revealed features of invasiveness, a completion modified radical mastectomy with axillary clearance was done.…”