[Ultrasound guided vacuum breast biopsy for microcalcifications in a male. First case report]

The author reports the case of a man presenting with a bloody discharge from the right nipple without a palpable mass. On the mammogram pleiomorphic microcalcifications were identified (BIRADS-Category 4B). An ultrasound guided mammotome vacuum-assisted biopsy (11-G) was done, because the breast was thin and the microcalcifications were seen by ultrasound. This is the first case report of a biopsy performed under ultrasound guidance for a man with breast microcalcifications. The diagnosis of DCIS was confirmed by pathology.