ACR Appropriateness Criteria® Evaluation of the Symptomatic Male Breast

Publication date: November 2018Source: Journal of the American College of Radiology, Volume 15, Issue 11, SupplementAuthor(s): Expert Panel on Breast Imaging:, Bethany L. Niell, Ana P. Lourenco, Linda Moy, Paul Baron, Aarati D. Didwania, Roberta M. diFlorio-Alexander, Samantha L. Heller, Anna I. Holbrook, Huong T. Le-Petross, Alana A. Lewin, Tejas S. Mehta, Priscilla J. Slanetz, Ashley R. Stuckey, Daymen S. Tuscano, Gary A. Ulaner, Nina S. Vincoff, Susan P. Weinstein, Mary S. NewellAbstractAlthough the majority of male breast problems are benign with gynecomastia as the most common etiology, men with breast symptoms and their referring providers are typically concerned about whether or not it is due to breast cancer. If the differentiation between benign disease and breast cancer cannot be made on the basis of clinical findings, or if the clinical presentation is suspicious, imaging is indicated. The panel recommends the following approach to breast imaging in symptomatic men. In men with clinical findings consistent with gynecomastia or pseudogynecomastia, no imaging is routinely recommended. If an indeterminate breast mass is identified, the initial recommended imaging study is ultrasound in men younger than age 25, and mammography or digital breast tomosynthesis in men age 25 and older. If physical examination is suspicious for a male breast cancer, mammography or digital breast tomosynthesis is recommended irrespective of patient age.The American College of Radiology Appr...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research