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Updated: May 2, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Idiopathic bilateral male breast abscess
Rajan Kumar Sinha1, Mithilesh Kumar Sinha, Kumar Gaurav
1Department of Urology, CNMCH, Kolkata, West Bengal, India.
A man presented with bilateral breast swelling and pain, initially suspected as abscess. Further examination revealed palpable axillary nodes, raising concerns for underlying malignancy requiring histopathological analysis.
Area of Science:
- Oncology
- General Surgery
- Pathology
Background:
- Male breast swelling can be a rare presenting symptom.
- Differential diagnosis includes infection, inflammation, and malignancy.
Observation:
- A 38-year-old male presented with 7-day history of bilateral breast swelling, pain, and redness.
- Bilateral, multiple, discrete axillary lymphadenopathy was noted on examination.
Findings:
- Provisional diagnosis of bilateral breast abscess with suspicion of malignancy.
- Surgical intervention included incision and drainage with tissue excision for histopathology.
Implications:
- Histopathological examination is crucial for definitive diagnosis in cases of male breast swelling with suspicious features.
- This case highlights the importance of considering malignancy in the differential diagnosis of bilateral breast abscess in men.
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