Breast mass in a male Nigerian adult

Breast mass in a male Nigerian adult

Akinola Rachael Adeyanju¹, Oshinyimika Adesegun², Benebo Adokiye S³, Wright Kikelomo Ololade⁴, Akanji Akinwunmi Olalekan¹, Alakija Ayo¹, Tijani Afusat Iyabode⁵,

¹Radiology Department, College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

²Department of Surgery, Orile  Agege General Hospital, Agege, Lagos, Nigeria

³Department of Pathology and Forensic Medicine,College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

⁴Department of Community Health and Primary Healthcare,College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

⁵Department of Radiology, Orile Agege General Hospital, Agege, Lagos, Nigeria

*Corresponding author E-mail: [email protected] ; Tel.: + 234 8023120299

Received 11 April, 2010; Accepted 13 May, 2010

Abstract

A 57 year old car mechanic presented with a painless right breast mass which started in form of a boil and has been increasing in size. A chest x-ray, ultrasound scan and a conventional mammography done confirmed a well defined rounded mass which was not spiculated but was attached to the retro-mammary plate. There was no associated architectural distortion or suspicious calcification. An ACR Bi-rads 3 category lesion was diagnosed and a workup sonomammography was recommended. Ultrasound scan revealed a well defined, lobulated, heterogeneous mass with a distinct capsule suggesting a final Bi-rads 4 category lesion. A fine needle aspiration biopsy was recommended but patient opted for a mastectomy. The histology report after mastectomy however revealed an invasive lobular carcinoma with an invasive ductal component, Grade II. We present this rare disease of male breast cancer, giving a brief literature review. Also the relevance of the imaging modalities and histology in its diagnosis is highlighted.

Key words: Breast Cancer, Nigerian, Male