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

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.

Male Breast Cancer in Togo: Imaging and Clinicopathological Findings

“…Some studies have even found that ultrasound and clinical examination may be enough to decide what to do with a breast lesion in the male subject [ 18 ]. In Africa, there are a few studies on the radiopathological correlation of lesions suspected of breast cancer in men, such as that of N'timon et al [ 19 ] in Togo and Ouedraogo et al [ 20 ] in Burkina Faso. N'timon et al in their study only considered the correlation of ACR4 and 5 lesions in imaging and the histological results of ultrasound-guided microbiopsies.…”