Male Breast Lesions : Clinical, Radiological and Pathological correlation

Rakesh Mehra; Raj kapoor Das; G N Singh

Volume : VIII, Issue : VI, June - 2019

Male Breast Lesions : Clinical, Radiological and Pathological correlation

Rakesh Mehra, Raj Kapoor Das, G N Singh

Abstract :

Background: Breast lesions in males are overall less as compared to females with the incidence of 1.4–7.3% and carcinomas <1% in males. Despite the emerging role of core needle biopsy, Image guided FNAC continues to be an effective tool in the initial evaluation of east masses in males. Aim of the study: To evaluate the role of image guided FNAC in the preliminary diagnosis of male east lesions as a minimally invasive technique especially in areas with limited diagnostic facility. Materials and Methods: A total of 182 cases of male east lesions were analyzed at Patna Medical College from June 2013 to 2018. This is a prospective study with complete clinical evaluation, imaging and cytopathological correlation. FNACs are performed by the Cytopathologist and simultaneous collection of cell block. Results: The age range was 6–80 years. Out of 182 cases, 176 cases were benign and 6 cases were malignant. Of the 176 benign cases, 156 cases were gynecomastia, 14 cases were benign east aspirate, 3 cases of east abscess, 2 cases of lipoma, 1 epidermal inclusion cyst and 6 cases of infiltrating ductal carcinoma. Histopathological correlation was available only in 22 cases. Conclusion: Image guided FNAC is still a quick, effective and minimally invasive technique for initial evaluation of east lesion in males. Cell block further reduces the need for core biopsy as immunohistochemistry and molecular tests can be effectively done for definite diagnosis.