A painful and swollen right breast in a young male

Abstract

A 33-yr-old, Caucasian male, smoker (40 pack-yr) presented to the current authors9 hospital complaining of a painful and swollen right breast, which had already lasted a few weeks. He had poor oral hygiene, had been subject to several teeth extractions over the previous 2 yrs and had sporadically used oral antibiotics. He denied fever, cough and shortness of breath or weight loss. The chest physical examination disclosed a painful large soft tissue mass (1068 cm) on the anterior right side of the chest wall, right in the upper part of the breast.Vital signs were normal, as were the results of the routine laboratory tests, with the exception of the erythrocyte sedimentation rate and the C-reactive protein, which were both elevated. The arterial blood gas analysis was within the normal range. The tuberculosis skin test was negative. The patient9s chest radiograph and the computed tomography (CT) scan are shown in figures 1 and 2, respectively. A surgical biopsy was performed under local anesthesia and the tissue histology is also shown in figure 3.

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