Male Breast Nodules in Ouagadougou (Burkina Faso): Radiological and Histopathological Aspects

Bénilde Ma Kambou Tiemtore,Rabiou Cisse,Ousséini Diallo,Claudine Lougue Sorgho,Nina-Astrid Nde Ouedraogo,Boubakar Ouattara,Abel Bamouni,Madina Napon

doi:10.4236/ojrad.2018.84030

Abstract

Objective: To describe the radiological and histological aspects of breast nodules among men in our practice setting. Methodology: This is a descriptive and retrospective study conducted from January 2014 to October 2017. The study included male patients with breast nodules classified ACR3, 4 or 5 after a mammographic and ultrasound scan. These lesions were explored through an ultrasound-guided breast microbiopsy. The following are the variables collected: age, family history of breast cancer, medical history, ACR classification, nodule size, and anatomopathologic diagnosis. Results: 13 breast nodules were explored among 13 male subjects. Mammography and breast ultrasound enabled to identify one ACR3 lesion, 10 ACR4 lesions and 2 ACR5 lesions. The average age was 56.53 ± 14.63 years and the average size of the nodules 28.91 ± 13.62 mm. As for histology, there were seven malignant tumors and six benign tumors. The average age of patients with malignancy was 61.45 ± 13.62 years. The malignant nodules average size was 29.45 ± 12.54 mm. Malignant tumors exclusively consisted of invasive breast carcinomas while Benign ones consisted of dystrophic and inflammatory lesions. Conclusion: Most often Breast lesions among men had an indeterminate appearance on imaging and were predominantly malignant in histopathology.

Highlights

Variables were collected from patient records: age, family history of breast cancer, medical history, American College of Radiology (ACR) classification, nodule size, and anatomopathologic diagnosis
This is the first time such a study is conducted in our country even if it is limited to the urban environment. These results show that malignant tumors are as common as benign tumors
Breast lesions exist among male patients in our country

Summary

Introduction

Breast lesions among humans are largely dominated by gynecomastia; the other. Lesions are derived from the cutaneous and subcutaneous tissue of the breast [1]. Breast cancer among men represents less than 1% of all breast cancers [2] [3]. These nodules are often neglected because of the lack of knowledge of mammary lesions on humans, sometimes causing diagnostic delays that hinder the prognosis of the patient in case of malignancy

Methods

Results

Conclusion