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Related Experiment Videos

Mammography in men

R A Cooper1, B A Gunter, L Ramamurthy

  • 1Department of Radiology, Loyola University Medical Center, Maywood, IL 60153.

Radiology
|June 1, 1994
PubMed
Summary
This summary is machine-generated.

Mammography in men rarely indicates cancer. Most male breast abnormalities are gynecomastia, a benign condition, and typically do not require biopsy or further mammographic screening unless other clinical signs are present.

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Area of Science:

  • Radiology
  • Oncology
  • Men's Health

Background:

  • Breast abnormalities in men are uncommon.
  • Mammography is used to evaluate male breast symptoms like tenderness and masses.

Purpose of the Study:

  • To evaluate mammographic findings in men presenting with breast abnormalities.
  • To determine the diagnostic accuracy of mammography in identifying male breast conditions.

Main Methods:

  • Retrospective review of mammograms from 263 men (mean age 62).
  • Analysis of presenting symptoms, mammographic findings, and biopsy results.
  • Correlation of mammographic findings with clinical outcomes and follow-up data.

Main Results:

  • Gynecomastia was the most common finding (81%), often unilateral or asymmetric.

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  • Only six patients (2.3%) had breast cancer; none presented with typical gynecomastia imaging.
  • No cancer was detected in men under 50 years old.

    • Conclusions:

    • Mammographic diagnosis of gynecomastia in men with breast enlargement or masses generally does not warrant biopsy without other clinical indications.
    • Mammography may be unnecessary for younger men (<50) with diffuse breast enlargement or specific subareolar masses, absent other clinical signs.