Male breast cancer

Question 1

What structures are in the male breast. What is significance?

Answer 1

Just ducts and terminal buds.

Therefore there are no lobular related pathologies (no lobular carcinoma, fibroadenoma)

Question 2

Gynecomastia - non-neoplastic enlargement of epithelial and stromal elements. Behind the nipple. Can be normal in boys under 13 or men over 65

1. Classic meds/conditions a/w gynecomastia?
2. 3 types

Answer 2

1. Spironolactone, psych meds, weed, cirrhosis, testicular cancer.
2. Nodular - most common, flame shaped. can be painful, reversible

dendritic - chronic/fibrotic. Brandhes like a tree. Not painful

diffuse - looks like women’s breast , a/w estrogen therapy

Question 3

When working with male breast, always get mammogram. (Although Wilmarie says that ACR now says you can get u/s first in males under 25).

1. Name for fat person’s breasts

Answer 3

1. pseudogynecomastia

Question 4

1. 2nd most common palpable breast mass in male (after gynecomastia)

Answer 4

Lipoma

Question 5

Typical features of male breast cancer

Answer 5

Always ductal

usuallys spiculated mass

usually older man (average age >70)

Question 6

2 big risk factors for male breast cancer

Answer 6

BRCA2 (2 is greater than 1)

Klinefelters

Question 7

should someone who is transgender female getting hormone therapy get a screening mammogram?

Answer 7

No. But if they have a palpable mass, they should still be assessed.