Related Experiment Videos
Mammographic findings in men with breast cancer
D D Dershaw1, P I Borgen, B M Deutch
1Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
Objective:
Our objective was to identify the mammographic findings of breast cancer in men.
Materials And Methods:
The mammograms of 23 men with proved breast cancer (mean age, 63 years; range, 44-86 years) were retrospectively reviewed. Medical histories included gynecomastia in five, prior cancer in three, and radiation exposure in two. The most common signs were a mass in 13 and bloody nipple discharge in eight.
Results:
Carcinoma was evident mammographically as an uncalcified mass in 17 patients (74%) and as a mass with microcalcifications in two patients (9%). Three tumors were not evident on mammograms, including one that was obscured by gynecomastia. Tumors were largely subareolar (14/17, 82%), and all were ductal cancers, including six pure intraductal carcinomas.
Conclusion:
Mammograms of men with breast cancer usually show an uncalcified subareolar mass, which may mimic or be obscured by gynecomastia. If calcifications are present, they may not have a pattern usually associated with malignancy.