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Updated: Jul 5, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Male breast abscess: A rare entity.

Remah Alzayyat¹, Danah Bokhari¹, Afnan Almuhanna²

¹College of Medicine, Imam Abdulrahman Bin Faisal University, Eastern Province, Dammam, P.O Box:1982, 31441, Saudi Arabia.

Radiology Case Reports

|January 23, 2024

Summary

This case report details a rare male breast abscess caused by Finegoldia Magna. Prompt diagnosis and antibiotic treatment were crucial for successful management of this challenging condition.

Keywords:

Breast abscess Breast carcinoma FNA Male breast Mammogram Subareolar mass

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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.