Ductal carcinoma in situ in a 16-year-old adolescent boy with gynecomastia: a case report

Ductal Carcinoma In Situ in a 25-Year-Old Man Presenting with Apparent Unilateral Gynecomastia

“…At the time of our patient's presentation, only 6 cases had been described in males under the age of 25 2,4,[12][13][14][15] . Only 4 males of any age have had breast cancer revealed on pathology examination after surgical intervention for gynecomastia 2,4,12,16 .…”

“…The rare incidence of dcis and the presence of concurrent gynecomastia can frequently result in misdiagnoses 4 . Our patient's dcis was diagnosed on routine postoperative pathology investigation without preoperative diagnostic evaluation and staging.…”

“…Treatment of male dcis does not have an established benchmark; it is guided by experiences reported in the literature 4 . Total mastectomy has been suggested, and a recurrence following this procedure has yet to be described 19 .…”

“…Research pertaining to lumpectomy and adjuvant radiotherapy for men is sparse. Simple excision alone is often endorsed 19,22 , although some authorities maintain that total mastectomy be performed because nipple excision is usually necessary 4 . Excision of the nipple is done because the small size of the male breast typically leads to subareolar involvement 4 .…”

“…Simple excision alone is often endorsed 19,22 , although some authorities maintain that total mastectomy be performed because nipple excision is usually necessary 4 . Excision of the nipple is done because the small size of the male breast typically leads to subareolar involvement 4 . There is no evidence for the use of axillary lymph node dissection, tamoxifen, or adjuvant radiation with or without chemotherapy 19 .…”