Transcript 110 - Stanley Radiology

Two uncommon Breast lesions:
Medullary carcinoma of breast and
male breast abscess.
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Dr Rujuta Narendra Rege, Post graduate Resident 1
Dr Upasana Ranga, Associate Professor 1
Dr R Vimal Chander, Assistant Professor2
Dr S Deivanayagam, Professor3
1Department
of Radiodiagnosis and Imaging, Saveetha Medical
College Hospital, Thandalam, Kancheepuram, Tamilnadu, India
(602105).
• 2Department of Pathology, Saveetha Medical College Hospital,
Thandalam, Kancheepuram, Tamilnadu, India (602105).
• 3Department of General Surgery, Saveetha Medical College
Hospital, Thandalam, Kancheepuram, Tamilnadu, India (602105).
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ABSTRACT
• We would like to present two uncommon breast lesions, one a rare
subtype of breast carcinoma which is medullary carcinoma of
breast and other a case of breast abscess in a male patient which is
also quite rare.
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Medullary carcinoma of the breast is a rare subtype of breast
carcinoma, which occurs in relatively younger age group. Lesion is
typically round or ovoid mass with circumscribed or ill-defined
margins on imaging and can mimic benign lesions like
fibroadenoma. Microlobulations and internal vascularity provide
clue to diagnosis.
• The male breast is also susceptible to most of the same pathological
conditions as female breast. Some of the nonneoplastic benign entities
that involve male breast include sebaceous cyst, intramammary
lymphnode, hematoma, fat necrosis, subareolar abscess, breast
augmentation, secondary syphilis and nodular fasciitis.
• Imaging plays a major role in accurate diagnosis of these conditions,
thereby avoiding invasive treatment. Subareolar abscess in a male patient
is uncommon and only few reported cases available in the literature. In
this poster, we wish to describe the imaging findings of medullary
carcinoma of breast, which can be mistaken for a benign lesion of breast
and also the role of imaging in diagnosing male breast diseases.