Male Breast Cancer Review. A Rare Case of Pure DCIS: Imaging Protocol, Radiomics and Management

被引:14
作者
Tari, Daniele Ugo [1 ]
Morelli, Luigi [2 ]
Guida, Antonella [3 ]
Pinto, Fabio [4 ]
机构
[1] Caserta LHA, Dept Diagnost Senol, Dist 12,Palazzo Salute, I-81100 Caserta, Italy
[2] Caserta LHA, Dept Pathol Anat Tuoro, I-81031 Aversa, Italy
[3] Caserta LHA, Head Off, Dist 12,Palazzo Salute, I-81100 Caserta, Italy
[4] Caserta LHA, A Guerriero Hosp, Dept Radiol, I-81025 Marcianise, Italy
关键词
male breast cancer; breast neoplasms; clinical practice patterns; ductal carcinoma in situ; radiomics; digital breast tomosynthesis; proliferative disease of the breast; guidelines; CARCINOMA IN-SITU; ARCHITECTURAL DISTORTION; DIGITAL MAMMOGRAPHY; DIAGNOSTIC-ACCURACY; TOMOSYNTHESIS; DISEASE; ULTRASOUND; OUTCOMES; OCCULT; RISK;
D O I
10.3390/diagnostics11122199
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ductal carcinoma in situ (DCIS) of male breast is a rare lesion, often associated with invasive carcinoma. When the in situ component is present in pure form, histological grade is usually low or intermediate. Imaging is difficult as gynaecomastia is often present and can mask underlying findings. We report a rare case of pure high-grade DCIS in a young male patient, with associated intraductal papilloma and atypical ductal hyperplasia. Digital breast tomosynthesis (DBT) showed an area of architectural distortion at the union of outer quadrants of the left breast without gynaecomastia. Triple assessment suggested performing a nipple-sparing mastectomy, which revealed the presence of a focal area of high-grade DCIS of 2 mm. DCIS, even of high grade, is difficult to detect with mammography and even more rare, especially when associated with other proliferative lesions. DBT with 2D synthetic reconstruction is useful as the imaging step of a triple assessment and it should be performed in both symptomatic and asymptomatic high-risk men to differentiate between malignant and benign lesions. We propose a diagnostic model to early detect breast cancer in men, optimizing resources according to efficiency, effectiveness and economy, and look forward to radiomics as a powerful tool to help radiologists.
引用
收藏
页数:16
相关论文
共 50 条
  • [31] Inflammatory Breast Cancer in Men: A rare clinical case report and a literature review
    Tanhueco, Angeline
    Youssef, Mina M. G.
    INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2021, 80
  • [32] Breast Cancer in Female-to-Male Transsexuals: Two Cases With a Review of Physiology and Management
    Shao, Theresa
    Grossbard, Michael L.
    Klein, Paula
    CLINICAL BREAST CANCER, 2011, 11 (06) : 417 - 419
  • [33] Primary small-cell neuroendocrine carcinoma of the male breast: a rare case report with review of the literature
    Jiang, Jian
    Wang, Guixin
    Lv, Li
    Liu, Caigang
    Liang, Xi
    Zhao, Haidong
    ONCOTARGETS AND THERAPY, 2014, 7 : 663 - 666
  • [34] Contralateral male breast cancer with a positive family history - a case report with review of literature
    Alagumuthu, M.
    Dussa, Shriniwas R.
    Rout, Tapas K.
    Das, Bhupati B.
    Pattanayak, Siba P.
    Mangual, Rasananda
    INDIAN JOURNAL OF SURGERY, 2010, 72 (01) : 70 - 72
  • [35] Oncotype DX for Comprehensive Treatment in Male Breast Cancer: A Case Report and Literature Review
    Zheng, Ang
    Zhang, Lin
    Ji, Ziyao
    Fan, Lijuan
    Jin, Feng
    AMERICAN JOURNAL OF MENS HEALTH, 2019, 13 (03)
  • [36] Rare axillary cancer of unknown primary originating from the breast of a 64-year-old male patient: A case report and literature review
    Parisi, Simona
    Gambardella, Claudio
    Ruggiero, Roberto
    Tolone, Salvatore
    Iovino, Francesco
    Lucido, Francesco Saverio
    Fisone, Francesca
    Volpe, Mariachiara Lanza
    Cozzolino, Giovanni
    Mongardini, Federico Maria
    Brusciano, Luigi
    Andrea, Ronchi
    Docimo, Ludovico
    ONCOLOGY LETTERS, 2024, 27 (02) : 1 - 9
  • [37] Contralateral male breast cancer with a positive family history — a case report with review of literature
    M. Alagumuthu
    Shriniwas R. Dussa
    Tapas K. Rout
    Bhupati B. Das
    Siba P. Pattanayak
    Rasananda Mangual
    Indian Journal of Surgery, 2010, 72 : 66 - 68
  • [38] Clinical Decision Making in the Management of Breast Cancer Diagnosed During Pregnancy: A Review and Case Series Analysis
    Safi, Nadom
    Saunders, Christobel
    Anazodo, Antoinette
    Dickinson, Jan E.
    Boyle, Frances
    Ives, Angela
    Wang, Alex
    Li, Zhuoyang
    Sullivan, Elizabeth
    JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY, 2022, 11 (03) : 245 - 251
  • [39] Breast Cancer Screening, Management, and a Review of Case Study Literature in Transgender Populations
    Deutsch, Madeline B.
    Radix, Asa
    Wesp, Linda
    SEMINARS IN REPRODUCTIVE MEDICINE, 2017, 35 (05) : 434 - 441
  • [40] Invasive ductal carcinoma of breast in a 73-year old male: A rare case report and literature review
    Yahaya, James J.
    Ngaiza, Advera I.
    Morgan, Emmanuel D.
    Abraham, Zephania S.
    Othieno, Emmanuel
    INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2023, 105