Case 21 Discussion

No. This is a classic spiculated mass, and an ultrasound will not change your recommendation for excision. Spot mag views and ultrasound were performed in this case, though the pictures are nice for this teaching file, they really don't add much:

Breast cancer in men is very rare, comprising less than 0.5% of all breast cancer. They generally present as a painless hard mass. The mammographic findings are similar to invasive cancers found in women-- they may be circumscribed or spiculated.

Intracystic papillary carcinoma accounts for about 5% of male breast cancers. 85% are infiltrating ductal carcinoma, not otherwise specified (NOS). Lobular cancers are exceedingly rare.

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