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2016, Number 2

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Anales de Radiología México 2016; 15 (2)

Image characteristics of male breast disorders

Santana-Vela IA, Córdova-Chavez NA, Putz-Botello MD, Onofre-Castillo JJ, Cuevas-Betancourt RE, Arreozola-Mayoral MA

Language: Spanish
References: 18
Page: 120-130
PDF size: 975.27 Kb.


ABSTRACT

Objetive: review the image characteristics of different disorders in differential diagnosis of benign and malignant processes of the male breast. Discuss the most common diseases seen at Hospital Christus Muguerza Alta Especialidad.
Material and Methods:we studied 40 patients in the period from January 2011 through December 2015. We searched the database of Hospital Christus Muguerza Alta Especialidad to identify patients who underwent studies of mammography, ultrasound, and subsequent biopsy of mammary lesions.
Results: the disorder most commonly observed is of the benign variety; gynecomastia was the most common diagnosis (60.9%). We detected 4.3% of patients with malignant conditions; usually palpable tumors reported as invasive ductal adenocarcinomas.
Discussion: in our population we found a majority of benign conditions, with gynecomastia the most common diagnosis. The malignancy reported most commonly was invasive ductal adenocarcinoma, a finding concurring with the specialized literature. We should take into account the BI-RADS reporting system, which does not make the distinction between female or male gender.
Conclusions: benign mammary disorders are the most common in male patients, and gynecomastia is the disorder of greatest incidence. Although malignant pathology of the male breast is uncommon, it is important to take into account the various clinical and image manifestations which suggest this diagnosis, to provide comprehensive and opportune treatments.


REFERENCES

  1. Mansel R, Webster D, Sweetland H: The male breast. Benign disorders and diseases of the breast. 3era edicion. El sevier; 2009,p 25-272.

  2. Nguyen C, Kettler MD, Swirsky ME y cols: Male breast disease: pictorial review with radiologic-pathologic correlation. Radiographics. 2013 May;33(3):763-79

  3. Lattin GE Jr, Jesinger RA , Mattu R y cols: From the radiologic pathology archives: diseases of the male breast: radiologic-pathologic correlation. Radiographics. 2013 Mar-Apr;33(2):461-89.

  4. Martinez-Tlahuel JL, Arce C, Lara F: Cáncer de Mama en el Hombre. Cancerología. 2006(1):201-210.

  5. Perfil epidemiológico de los tumores malignos en México. http://www.epidemiologia.salud.gob.mx/doctos/infoepid/ publicaciones/2011/monografias/P_EPI_DE_LOS_TUMORES_ MALIGNOS_M%C3%A9xico.pdf .(ultimo acceso 18 enero 2016).

  6. Hallazgos por imagen de la patología mamaria en el varón. http://dx.doi.org/10.1594/seram2012/S-0735. Buitrago G, Bueno O, Olcoz F, García E, Borrego P, Aguado A. Congreso: SERAM 2012.

  7. Puebla C, Sainz JM, Pujalá M y cols: Actualización Patología mamaria masculina. Radiología 1998;40(4):221-228.

  8. Chen L, Chantra PK, Larsen LH y cols: Imaging Characteristics of Malignant Lesions of the Male Breast. Radiographics. 2006 Jul-Aug;26(4):993-1006.

  9. Prem K. Chantra , George J. S, Jerome S. Wollman y cols: Mammography of the Male Breast. AJR 1995;164:853-858.

  10. Kaneda HJ, Mack J, Kasales CJ, Schetter S: Pediatric and adolescent breast masses: a review of pathophysiology, imaging, diagnosis, and treatment. AJR Am J Roentgenol. 2013 Feb;200(2):W204-12.

  11. Manju Bala Popli, V Popli, P Bahl, Y Solanki: Pictorial essay: Mammography of the male breast. Indian J Radiol Imaging. 2009 Nov;19(4):278–281.

  12. Yttta S, Singer CI, Toth HB y cols. Image presentation. Sonographic appearances of benign and malignant male breast disease with mammographic and pathologic correlation. J Ultrasound Med. 2010 Jun;29(6):931-47.

  13. Iuanow E, Kettler M, Slanetz PJ: Spectrum of disease in the male breast. AJR Am J Roentgenol. 2011 Mar;196(3):W247-59.

  14. Appelbaum AH, Evans GF, Levy KR y cols: Mammographic appearances of male breast disease.. Radiographics. 1999 May-Jun;19(3):559-68.

  15. D’Orsi CJ, Sickles EA, Mendelson EB, Morris EA y cols. ACR BI-RADS atlas, Breast Imaging Reporting and Data System. 5ta ed. Reston, VA, American College of Radiology; 2013.

  16. Ferris-James DM, Iuanow E,Mehta TS y cols: Imaging approaches to diagnosis and management of common ductal abnormalities. Radiographics. 2012 Jul-Aug;32(4):1009-30.

  17. Chao TC, Chao HH, Chen MF: Sonographic features of breast hamartomas. J Ultrasound Med. 2007 Apr;26(4):447-52.

  18. Proulx AM, Zryd TW. Costochondritis: diagnosis and treatment. Am Fam Physician. 2009 Sep 15;80(6):617- 20.




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