Chapter 55: Breast- Male Gynecomastia Flashcards
What is it?
Enlargement of the male breast
What are the causes?
Medications
Drugs (marijuana)
Liver failure
Increased estrogen
Decreased testosterone
What is the major differential diagnosis in the older patient?
Male breast cancer
What is the treatment?
- Stop or change medications;
- correct underlying cause if there is a hormonal imbalance;
- and perform biopsy or subcutaneous mastectomy (i.e., leave nipple) if refractory to conservative measures and time
Name the most likely diagnosis:
45-year-old woman with itching of the right nipple for 6 months and a right breast mass
Paget’s disease (infiltrating ductal carcinoma with spread to the nipple)
Name the most likely diagnosis:
60-year-old man with nipple discharge
Male breast cancer
Name the most likely diagnosis:
36-year-old woman with a right breast mass after hitting her right breast on a door handle
Fat necrosis
Name the most likely diagnosis:
39-year-old woman with bilateral milky breast discharge,decreased lateral vision fields, and pituitary mass
Prolactinoma
28-year-old woman with unilateral green-brown nipple discharge increasing immediately before menses?
Fibrocystic disease
25-year-old female with bloody nipple discharge
Ductal papilloma
56-year-old female with a red breast, no fever, no leukocytosis; on exam. the skin looks swollen like an orange
Inflammatory breast cancer with peau d’orange (orange peel skin) on exam
Inflammatory breast cancer with peau d’orange (orange peel skin) on exam
Ductal Carcinoma In Situ (DCIS)
2 weeks’ s/p modified radical mastectomy a 45-year-old woman with infiltrating ductal cancer of the right breast returns to the clinic and complains of her right scapula “sticking out”
Winged scapula due to injury to the long thoracic nerve
Name the diagnostic modality:28-year-old female with history of bloody nipple discharge mammogram is negative
Galactography to look for ductal papilloma
