72-year-old male presented to our clinic with a seven month history of “growing boobs”.
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On physical exam he had what looked like gynecomastia - a condition where men develop breast tissue behind the nipple.
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On mammogram the patient had an irregular mass in the upper posterior left breast.
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An ultrasound showed a solid mass with internal vascularity (blood vessels).
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Biopsy confirmed invasive breast carcinoma.
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Male breast cancer is rare and accounts for less than 1% of all cases of breast cancer. It often presents at a later age than female breast cancer and usually is more advanced at initial presentation.
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Risk factors: radiation to the chest, family history of breast cancer and BRCA-2 gene mutations.
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Image from Case contributed by Dr Mark Holland on www.radiopaedia.org/cases/male-breast-cancer-1
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