mammographic and sonographic features of male breast diseases at King Hussein Medical Centre

ABSTRACT

To describe the mammographic and sonographic features of male breast diseases, and to correlate the radiological, cytological and histopathological diagnoses. This is a retrospective descriptive study that was conducted at King Hussein Medical Centre, Amman, Jordan between January 1st 2004 and December 31st 2007. The mammograms and breast ultrasounds of 88 symptomatic male patients were reviewed and analyzed. A total of 24 patients with unilateral breast masses underwent fine-needle aspiration, eight of them with suspected malignant lesions underwent further true cut biopsy and surgery. The radiological, cytological and histopathological diagnoses were correlated. Sixty one [70%] patients had gynaecomastia, 15 [17%] had fatty breasts [pseudo-gynaecomastia], eight [9%] had primary breast carcinoma, two [2%] had lipomas, one [1%] had abscess, and one [1%] had hematoma. The characteristic radiological features were confirmed by fine-needle aspiration cytology in 16 patients and by both cytology and histopathology studies in eight cases. Radiological findings provide characteristic diagnostic appearances for certain important male breast disease. The radiological features can be accurately correlated with pathological diagnosis