Male breast abscess: A rare entity.

Area of Science:

• Radiology
• Infectious Diseases
• Surgical Pathology

Background:

• Male breast abscesses are uncommon, representing 1-3% of male breast diseases.
• Risk factors such as obesity and smoking can contribute to their development.
• Accurate diagnosis relies on imaging and microbiological analysis.

Observation:

• A 51-year-old obese male smoker presented with a growing right breast mass.
• Physical examination revealed a firm, nonmobile mass near the nipple.
• Mammography showed a well-circumscribed subareolar mass with skin thickening and edema.

Findings:

• Fine needle aspiration yielded purulent material.
• Culture identified the causative agent as Finegoldia Magna, a gram-positive coccus.
• Post-antibiotic aspiration showed reduced pus without bacterial growth.

Implications:

• This case highlights the importance of considering breast abscess in males with breast masses.
• Radiologists play a key role in the evaluation and follow-up of male breast lesions.
• Early diagnosis and appropriate antibiotic therapy are essential for effective treatment.