Diseases of the Male Breast

Question 1

Diseases of the male breast

Answer 1

1. Gynecomastia

2. Carcinoma

Question 2

Features of gynecomastia

Answer 2

• pubertal cause, possibly hormone imbalance
• other causes: testicular atrophy eg Klinefelter’s, liver cirrhosis - hyperestronism, estrogen secreting tumours, increased prolactin levels, drugs
• proliferation of ducts without lobules
• dense periductal stromal fibrosis w micro papillary hyperplasia of duct lining

Question 3

Features of carcinoma of the male breast

Answer 3

• extremely rare

- infiltrating ductal carcinoma