Invasive ductal carcinoma of the breastBy Markus HolzhauerHistory: 70 y old male with palpable "rocksolid" mass in the right nipple area Findings:
:: X-Ray 1 ::right CC - flameshape density
:: X-Ray 2 ::left breast CC - normal
:: Ultrasound 1 ::US - hypoechoic area wiht flow
:: X-Ray 3 ::Right MLO view
:: X-Ray 4 ::left MLO view Discussion: Despite relatively "flame shaped" appearance - and US which is not very helpful in differentiating maligancy from benign gynecomastia the clinical finding of a "rock like" firm mass prompted a biopsy TAKE HOME POINT: the imaging findings alone can fool you and a clinical exam is a important to decide to biopsy or not Differential diagnosis: Gynecomastia versus malignancy Diagnosis confirmation: Surgery / Histo Category: Other Region / Organ: Thorax-Other and unknown Etiology: neoplastic References: Primary Breast Cancer in Men:Clinical,Imaging and Pathological Findings in 57 Patients AJR;2008;191:1631-1639 Get more for Invasive ductal carcinoma of the breast Peer-reviewed resources Literature  More publications about Invasive ductal carcinoma of the breast Challenge yourself with the case quiz! |