EURORAD ESR

Case 15424

Mammographic and sonographic characteristics of male breast carcinoma

Author(s)
Dr. George Skountzos

Athens General Hospital "Hippocration, Radiology; 27, Vasilissis Sofias Ave. 11527 Athens, Greece; Email:georgeskou@yahoo.gr
 
Patient
male, 53 year(s)
 
 
  • Figure 1
    Digital mammogram: RMLO and RCC projections
     

    A lobulated mass is shown on the upper part of the right breast, eccentrically located from the nipple. Evidence of gynaecomastia on the controlateral breast.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Imaging sequences; Special Focus: Neoplasia;

    A lobulated, irregular, high-density mass is obvious on the outer part of the right breast.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 2
    B-mode ultrasound: Hypoechoic mass with suspicious morphology

    An hypoechoic, lobulated mass is visible on the axis of the 10th hour of the right breast.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 3
    Colour Doppler and B-Flow imaging of the ill-defined mass
     

    Colour Doppler ultrasound revealed a predominantly central vascularisation of the mass.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Imaging sequences; Special Focus: Neoplasia;

    B-Flow analysis depicted a marked central vascular branch with lower peripheral segments.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 4
    Strain and shear wave elastography revealed high stiffness
     

    Strain elastography: The mass shows high stiffness (blue area) in comparison to the surrounding normal breast parenchyma.

     
    Area of Interest: Breast; Imaging Technique: Elastography; Procedure: Imaging sequences; Special Focus: Neoplasia;

    Shear wave elastography: The stiffness of the lesion was measured up to 92,98kPa, implying a malignant condition.

     
    Area of Interest: Breast; Imaging Technique: Elastography; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 5
    Ultrasound-guided hook wire placement

    Ultrasound guided core biopsy confirmed an infiltrating ductal carcinoma of the right breast.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;
     
     
A lobulated mass is shown on the upper part of the right breast, eccentrically located from the nipple. Evidence of gynaecomastia on the controlateral breast.
 
A lobulated, irregular, high-density mass is obvious on the outer part of the right breast.
 
An hypoechoic, lobulated mass is visible on the axis of the 10th hour of the right breast.
 
Colour Doppler ultrasound revealed a predominantly central vascularisation of the mass.
 
B-Flow analysis depicted a marked central vascular branch with lower peripheral segments.
 
Strain elastography: The mass shows high stiffness (blue area) in comparison to the surrounding normal breast parenchyma.
 
Shear wave elastography: The stiffness of the lesion was measured up to 92,98kPa, implying a malignant condition.
 
Ultrasound guided core biopsy confirmed an infiltrating ductal carcinoma of the right breast.
 
 
 
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