Venous malformation of the pectoral muscle depicted on mammogram
Venous malformation of the pectoral muscle diagnosed on a mammogram of a 41-year-old patient presenting with clinical suspicion of a gynecomastia.
CONCLUSIONS: Mammography and ultrasound remain the leading modalities in breast imaging among males for diagnostic workup of palpable mass, with gynecomastia being the predominant diagnosis. However, presentation with palpable mass was also associated with malignancy. Despite a notable MBC rate in our cohort, the likelihood of cancer is low in young patients and in cases of gynecomastia. PMID: 31599508 [PubMed - in process]
A 54-year-old man with mesenteric carcinoid tumor metastatic to the liver completed staging 68Ga-DOTATATE PET/CT demonstrating uptake in multiple hepatic lesions consistent with liver metastases with additional asymmetric increased uptake in the right greater than the left breast. Subsequent bilateral diagnostic mammogram revealed benign right greater than left gynecomastia without suspicious underlying mass. With Food and Drug Administration approval of 68Ga-DOTATATE and the increased use of this analog in neuroendocrine tumor imaging, this case illustrates a relevant example of uptake that can potentially mimic malignancy.
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 th...
ConclusionThe “double donut” technique is particularly useful for males with grades II or III gynecomastia. It provides good wound results, with acceptable patient satisfaction and cosmetic outcomes. Although initially developed for patients with higher grade gynecomastia, the improved visibility and increased patient satisfaction allowed this to become the preferred technique at our institution.
CONCLUSIONS: The evaluation of GM can be complex but a stepwise approach that starts with careful history taking and physical examination may obviate the need for extensive work-up. In this context, MX has been shown to be an accurate diagnostic tool for detecting GM and should be the first imaging examination to be performed in all clinically suspicious lesions referred for imaging. PMID: 27467870 [PubMed - as supplied by publisher]
American Journal of Roentgenology, Ahead of Print.
CONCLUSION: In patients with a classical appearance of gynecomastia on mammography, supplemental ultrasound, FNAC, or biopsy is superfluous and contributes to unnecessary costs. PMID: 26543053 [PubMed - as supplied by publisher]
Publication date: Available online 19 May 2015 Source:Journal of the American College of Radiology Author(s): Martha B. Mainiero , Ana P. Lourenco , Lora D. Barke , Amy D. Argus , Lisa Bailey , Selin Carkaci , Carl D’Orsi , Edward D. Green , Susan O. Holley , Peter M. Jokich , Su-Ju Lee , Mary C. Mahoney , Linda Moy , Priscilla J. Slanetz , Sunita Trikha , Monica M. Yepes , Mary S. Newell Most male breast problems are benign, and men with typical symptoms of gynecomastia or pseudogynecomastia do not usually need imaging. When a differentiation between benign disease and breast cancer cannot be made on the basis of ...
Abstract Gynecomastia is the most common abnormality of the male breast. However, breast cancer may occur, albeit with a significantly lower incidence than in females. Imaging is often used as part of the diagnosis. The aim of this study was to assess the utilization and outcome of imaging with mammography or ultrasound of the male breast in a university hospital's department of radiology. A retrospective study assessing the imaging of the male breast in 557 patients over a 10‐year period. Referral was done mainly by general surgeons and general practitioners. The most common indication was enlargement of the breast, des...