Intracystic Papillary Carcinoma in the Male Breast: A Rare Endpoint of a Wide Spectrum

Ketan Vagholkar,Indumati Gopinathan,Khojasteh Dastoor

doi:10.1155/2013/129353

Abstract

Introduction. Fibrocystic disease of the male breast is uncommon. The presence of a spectrum of changes ranging from fibrocystic disease to duct papilloma to papillary carcinoma in the same patient renders the case a rarity and therefore reportable. Case Report. A case of intracystic papillary carcinoma of the male breast is presented. Discussion. The pathological, clinical, diagnostic, and therapeutic options are discussed after reviewing the literature. Conclusion. Modified radical mastectomy with axillary clearance is the safest option for established cases.

Highlights

Fibrocystic disease of the male breast is uncommon
A case of intracystic papillary carcinoma in a 55-year-old male is presented in view of the presence of the entire spectrum ranging from fibrocystic disease to intraductal papilloma to intracystic papillary carcinoma on histology of the specimen along with review of the literature
In view of the invasive component detected on histology the patient underwent a completion modified radical mastectomy with ipsilateral axillary clearance (Figure 4)

Summary

Introduction

Intracystic papillary carcinoma of the male breast is an extremely rare entity accounting for less than 1% of all breast malignancies [1]. The condition is extremely rare even in males with very few case reports in English literature. This rare condition in the majority of cases is noninvasive, leading to both diagnostic and therapeutic dilemmas. A case of intracystic papillary carcinoma in a 55-year-old male is presented in view of the presence of the entire spectrum ranging from fibrocystic disease to intraductal papilloma to intracystic papillary carcinoma on histology of the specimen along with review of the literature

Case Report

Findings

Discussion