Duct ectasia in the male

Abstract

Three cases of inflammatory duct ectasia occurring in the male breast are described. The clinical presentation of the disease in the male closely resembles that in the female. Nipple retraction, nipple discharge, periareolar inflammation and bilateral involvement are all seen. Conservation measures produced unsatisfactory results similar to those in women. A similar operative approach to that used in women is advocated.

Plasma Cell Mastitis In Men: A Single-center Experience and Review of the Literature

“…Infrequently, it can be associated with skin erythema, mastodynia, and recurring abscesses. The presence of nipple serum-hematic secretions leads to the need for differential diagnosis from other benign breast diseases, such as aspecific or tuberculous mastitis (25), and from malignant breast diseases such as comedocarcinoma or retroareolar carcinoma (7,12).…”

“…In 1979 Mansel and Morgan asserted that in mammographic examination (which is difficult to perform in men), plasma cell mastitis exhibits a density indistinguishable from gynecomastia, and sometimes also from carcinoma (12).…”

“…In 1979, Mansel and Morgan documented three cases of plasma cell mastitis (12). In the first, a breast lump with inverted nipple and secretion was treated with an attempt at drainage and, subsequently, with a total ductectomy.…”

“…In the first, a breast lump with inverted nipple and secretion was treated with an attempt at drainage and, subsequently, with a total ductectomy. In the second case, the patient had recurrent abscesses of the right breast that were treated initially with a ductectomy, and then with a simple mastectomy (12). In the third case, a breast lump was treated with subcutaneous mastectomy and excision of the terminal ducts (12).…”

“…In the second case, the patient had recurrent abscesses of the right breast that were treated initially with a ductectomy, and then with a simple mastectomy (12). In the third case, a breast lump was treated with subcutaneous mastectomy and excision of the terminal ducts (12). In 1984, Chan and Lau described the case of a patient who had a breast lump treated with excision of the nodule (13), and in 1985 Ashworth et al presented a similar case, but treated with excision of the major ducts (14).…”