November 2011

Mass behind the nipple in a male patient

Clinical Info

Palpable mass behind the nipple

Ultrasound Images & Clips

Mass behind the nipple in a male patient

The mass is hypoechoic ill defined with irregular contours and has punctate microcalcifications
The mass is hypoechoic ill defined with irregular contours and has punctate microcalcifications
Another image of the irregular mass with microcalcifications
Another image of the irregular mass with microcalcifications
The mass is vascularized
The mass is vascularized
With elastography the mass is stiffer (dark blue) than the surrounding tissues
With elastography the mass is stiffer (dark blue) than the surrounding tissues
Cranio caudal view of the mass with mammography
Cranio caudal view of the mass with mammography
Medio latero oblique view of the mass with mammography
Medio latero oblique view of the mass with mammography
Hypoechoic lymph node in the axilla
Hypoechoic lymph node in the axilla
Transverse image of the same lymph node
The mass was biopsied under ultrasound guidance and a fine needle aspiration was performed of the axillary lymph node. It proved to be an infiltrating ductal carcinoma with an axillary lymph node metastasis
Transverse image of the same lymph node The mass was biopsied under ultrasound guidance and a fine needle aspiration was performed of the axillary lymph node. It proved to be an infiltrating ductal carcinoma with an axillary lymph node metastasis
A similar looking lesion was found in a 53 year old male with a paiful retroareolar mass
A similar looking lesion was found in a 53 year old male with a paiful retroareolar mass
Another image of the irregular hypoechoic mass
Another image of the irregular hypoechoic mass
There is also an abnormal axillary lymph node
There is also an abnormal axillary lymph node
Another image of the axilla with 2 lymph nodes. Again in this case the mass and an axillary lymph node were biopsied but both proved to be benign. The pathologist only found chronic inflammatory changes without any signs of malignancy
Another image of the axilla with 2 lymph nodes. Again in this case the mass and an axillary lymph node were biopsied but both proved to be benign. The pathologist only found chronic inflammatory changes without any signs of malignancy
The above presented lesions must be diffentiated from this very common cause of a palpaple mass in a male caused by a benign gynaecomastia
The above presented lesions must be diffentiated from this very common cause of a palpaple mass in a male caused by a benign gynaecomastia
Gynaecomastia
Gynaecomastia

Conclusion

The most common palpable mass in the breast of a male patient is gynaecomastia. Although breast carcinomas in males are not very common they must be differentiated from gynaecomastia. The features of breast carcinomas in males are similar to breast carcinomas in females. Sometimes a mass proves to be something completely else like inflammatory changes. In doubt always perform a biopsy


Details

  • Sex: Male
  • Age: 65

Created with

  • Hitachi Ultrasound System