E-ISSN 2587-0831
Case Report
Encapsulated Papillary Carcinoma in A Man with Gynecomastia: Ultrasonography, Mammography and Magnetic Resonance Imaging Features with Pathologic Correlation
1 Department of Radiology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey  
2 Department of Pathology, İstanbul University, İstanbul School culty of Medicine, İstanbul, Turkey  
3 Department of Surgery, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey  
Eur J Breast Health 2018; 14: 127-131
DOI: 10.5152/ejbh.2018.3761
Key Words: Encapsulated papillary carcinoma, intracystic papillary carcinoma, male, gynecomastia, magnetic resonance imaging
Abstract

 

Male breast cancer is an uncommon disease that constitutes 1% of all breast cancers and encapsulated papillary carcinoma (EPC) is a rare subtype of malignant male diseases. Gynecomastia is the most common disease of the male breast. We report a 63-year-old male patient with EPC accompanied by gynecomastia that was diagnosed and treated at our breast center. Mammography showed an oval-shaped dense mass with circumscribed margins on the ground of nodular gynecomastia. On ultrasonographic exam, we saw a well-circumscribed complex mass with a solid component which was vascular on Doppler ultrasonography. Magnetic resonance imaging revealed a complex cystic mass containing solid components. Dynamic images showed enhancement of the cystic mass wall and mural components. Tumor stage was evaluated as T2N0. The lesion’s histologic examination and immunohistochemical analysis by showing no myoepithelial layer revealed an encapsulated papillary carcinoma. To our knowledge, this is the first case report which describes MR imaging findings of male breast encapsulated papillary cancer.

 

Cite this article as: Yılmaz R, Günöz Cömert R, Aliyev S, Toktaş Y, Önder S, Önder S, Emirikçi S, Özmen V. Encapsulated Papillary Carcinoma in A Man with Gynecomastia: Ultrasonography, Mammography and Magnetic Resonance Imaging Features with Pathologic Correlation. Eur J Breast Health 2018; 14: 127-131.

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AVES | Copyright © 2018 Turkish Federation of Breast Diseases Associations | Latest Update: 29.03.2018