Male Breast Cancer Published on Diagnostic Imaging (http://www.diagnosticimaging.com)

Size: px
Start display at page:

Download "Male Breast Cancer Published on Diagnostic Imaging (http://www.diagnosticimaging.com)"

Transcription

1 Case Studies [1] July 22, 2014 By Danielle DeMulder, MD [2] and Erini Makariou, MD [3] Case History: 54-year-old male presents with palpable right retroareolar abnormality. Case History: 54-year-old male presents with palpable right retroareolar abnormality. The patient reports that two years prior, he presented to a surgeon with unilateral bloody nipple discharge on the right. At that time, he underwent breast biopsy, with benign results. No nipple retraction or inversion by patient report or on physical examination. Pathology report from biopsy February 10, 2012: Breast tissue with dense stromal fibrosis, mild focal duct hyperplasia, focal chronic inflammation, mild epithelial proliferation. Page 1 of 8

2 Figure 1. Bilateral full field digital mammography with CC and MLO views demonstrate a lobulated mass in the right retroareolar region. Absence of breast parenchyma, expected in this male patient. Page 2 of 8

3 Figure 2. Lobulated retreolar mass on the right. Page 3 of 8

4 Figure 3. Spot compression CC and MLO views demonstrate persistence of lobulated right retroareolar mass. Page 4 of 8

5 Figure 4. Grayscale transverse and longitudinal sonographic images (included with and without caliper measurements) in the right retroareolar region demonstrate lobulated, hypoechoic solid mas corresponding to the mammographic abnormality. Color Doppler interrogation of the mass does not reveal significant internal vascularity. Page 5 of 8

6 Figure 5. The patient underwent core biopsy under ultrasound guidance. Sonographic images demonstrate accurate targeting, with the biopsy needle in the lesion. Pathology: Invasive ductal carcinoma (strong estrogen and progesterone receptor positivity; HER2 equivocal). Discussion: The most common symptom of breast cancer in a male, as with females, is a hard, fixed, painless lump, which is present in 75 percent of cases. The palpable lump is usually subareolar. Other less common clinical features include nipple retraction or inversion, nipple discharge, axillary lymphadenopathy and skin changes (including retraction, skin thickening and even ulceration). Men account for approximately 1 percent of all new breast cancer cases. Given rarity, lack of awareness and often low clinical index of suspicion from both the perspective of the patient and physician, there is often a delay in diagnosis, leading to progression of disease before presentation. This later stage of diagnosis results in an overall worse prognosis. Prognostic factors include size of primary tumor, histologic grade and lymph node status. Average age of diagnosis tends to be later than that of women, with range of years. There is a greater prevalence of male breast carcinoma in some ethnic groups, including African-American, Native African from Western nations, and men of Jewish and Icelandic ancestry. Given the high frequency of genetic mutations (for example, BRCA-2 gene mutation, Klinefelter syndrome) in cases of male breast cancer, this diagnosis should prompt consideration of genetic counseling and testing, particularly if there is family history of relatives with breast and ovarian cancer. Mammography in men with breast lesions has a reported sensitivity of 92 percent and specificity of 90 percent. On mammography, male breast cancer is typically manifested with a subareolar mass, which can be round, oval, irregular or lobulated in shape and the margin may be spiculated and ill-defined or well circumscribed. Calcifications are uncommon in male breast cancer. Ancillary features of skin retraction and ulceration are findings that portend a poor prognosis. Gynecomastia can mask a cancer. Ultrasound typically demonstrates a hypoechoic solid, but can demonstrate a complex cystic mass. The differential diagnosis for male breast cancer includes gynecomastia, fat necrois, pseduogynecomastia, granular cell tumor or extramammary metastasis to the breast. Treatment: Treatment regimens are similar to those for female breast cancer. Page 6 of 8

7 Figure 6. Treatment algorithm for operable male breast cancer (Fentiman 2006). Figure 7. Treatment algorithm for inoperable male breast cancer (Fentiman 2006). References Iuanow E, Kettler M, Slanetz P. Spectrum of Disease in the Male Breast. American Journal of Radiology. 2011;16:3. Page 7 of 8

8 Chantra P, et al. Mammography of the Male Breast. American Journal of Radiology. 1995;164: Yang W, et al. Sonographic Features of Primary Breast Cancer in Men. American Journal of Radiology. 2001;176:2. Fentiman I, et al.. Lancet. June 2006;367:1818. Source URL: Links: [1] [2] [3] Page 8 of 8

Nicole Kounalakis, MD

Nicole Kounalakis, MD Breast Disease: Diagnosis and Management Nicole Kounalakis, MD Assistant Professor of Surgery Goal of Breast Evaluation The goal of breast evaluation is to classify findings as: normal physiologic variations

More information

Breast Ultrasound: Benign vs. Malignant Lesions

Breast Ultrasound: Benign vs. Malignant Lesions October 25-November 19, 2004 Breast Ultrasound: Benign vs. Malignant Lesions Jill Steinkeler,, Tufts University School of Medicine IV Breast Anatomy Case Presentation-Patient 1 62 year old woman with a

More information

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA Breast Imaging Made Brief and Simple Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA What women are referred for breast imaging? Two groups of women are referred for

More information

Breast Cancer: from bedside and grossing room to diagnoses and beyond. Adriana Corben, M.D.

Breast Cancer: from bedside and grossing room to diagnoses and beyond. Adriana Corben, M.D. Breast Cancer: from bedside and grossing room to diagnoses and beyond Adriana Corben, M.D. About breast anatomy Breasts are special organs that develop in women during puberty when female hormones are

More information

Breast Imaging Protocol Eastern Radiologists, Inc. Breast Imaging Network

Breast Imaging Protocol Eastern Radiologists, Inc. Breast Imaging Network Breast Imaging Protocol Eastern Radiologists, Inc. Breast Imaging Network Screening Mammography Images: Routine CC and MLO views, XCCL if needed. Implant Patients: CC and MLO in both routine and implant

More information

BREAST ULTRASOUND. Indications Technique and Normal Anatomy INDICATIONS INDICATIONS. Annina N. Wilkes MD Thomas Jefferson University Hospital

BREAST ULTRASOUND. Indications Technique and Normal Anatomy INDICATIONS INDICATIONS. Annina N. Wilkes MD Thomas Jefferson University Hospital BREAST ULTRASOUND INDICATIONS Indications Technique and Normal Anatomy Annina N. Wilkes MD Thomas Jefferson University Hospital Evaluation of palpable mass Evaluation of mass on mammogram Initial imaging

More information

The Male Breast: Masses, Malignancies and More

The Male Breast: Masses, Malignancies and More The Male Breast: Masses, Malignancies and More Monique Marie Tyminski, DO, R Hultman, DO, J Watkins, MD, T Stockl, MD, E T Ghosh, MD, S A MacMaster, MD Teaching Points: Understand male breast anatomy and

More information

www.downstatesurgery.org

www.downstatesurgery.org Male Breast Cancer Rabih Nemr MD Kings County Hospital August 2008 ACGME Core Competencies 1 Patient t Care Medical Knowledge 2 g 3 4 Practice Based Learning/Improvement Interpersonal Communication Skills

More information

OBJECTIVES By the end of this segment, the community participant will be able to:

OBJECTIVES By the end of this segment, the community participant will be able to: Cancer 101: Cancer Diagnosis and Staging Linda U. Krebs, RN, PhD, AOCN, FAAN OCEAN Native Navigators and the Cancer Continuum (NNACC) (NCMHD R24MD002811) Cancer 101: Diagnosis & Staging (Watanabe-Galloway

More information

Page. Objectives. Pediatric Breast Masses. Normal US Anatomy 5 Tanner stages. US Technique. Mature Breast (stage V)

Page. Objectives. Pediatric Breast Masses. Normal US Anatomy 5 Tanner stages. US Technique. Mature Breast (stage V) Pediatric Breast Masses Marilyn J. Siegel, M.D. Mallinckrodt Institute of Radiology Washington University School of Medicine St. Louis, MO Objectives Review normal breast development Recognize the sonographic

More information

Benign Breast Disorders

Benign Breast Disorders Benign Breast Disorders Valerie Swiatkowski, MD Medical Student Lecture Introduction 16% of women ages 40-69 will seek advice from their physician regarding breast complaints over 10 years. Failure to

More information

Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer

Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer Version History Version Date Summary of Change/Process 0.1 09.01.11

More information

Breast cancer close to the nipple: Does this carry a higher risk ofaxillary node metastasesupon diagnosis?

Breast cancer close to the nipple: Does this carry a higher risk ofaxillary node metastasesupon diagnosis? Breast cancer close to the nipple: Does this carry a higher risk ofaxillary node metastasesupon diagnosis? Erin I. Lewis, BUSM 2010 Cheri Nguyen, BUSM 2008 Priscilla Slanetz, M.D., MPH Al Ozonoff, Ph.d.

More information

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too.

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Male Breast Cancer Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Many people do not know that men can get breast

More information

Common Breast Complaints:

Common Breast Complaints: : Palpable mass Abnormal mammogram with normal physical exam Vague thickening or nodularity Nipple Discharge Breast pain Breast infection or inflammation The physician s goal is to determine whether the

More information

Changes in Breast Cancer Reports After Second Opinion. Dr. Vicente Marco Department of Pathology Hospital Quiron Barcelona. Spain

Changes in Breast Cancer Reports After Second Opinion. Dr. Vicente Marco Department of Pathology Hospital Quiron Barcelona. Spain Changes in Breast Cancer Reports After Second Opinion Dr. Vicente Marco Department of Pathology Hospital Quiron Barcelona. Spain Second Opinion in Breast Pathology Usually requested when a patient is referred

More information

Diagnosis of Breast Lesions with MRI

Diagnosis of Breast Lesions with MRI Diagnosis of Breast Lesions with MRI George Trilikis, M.D. October 2, 2010 Breast MRI Indications Overview Is breast MRI the best test? Key concepts to high quality breast MRI What are some things a technologist

More information

Breast Cancer. Mary Yamashita, M.D. Assistant Professor of Radiology Breast Imaging University of Southern California Keck School of Medicine

Breast Cancer. Mary Yamashita, M.D. Assistant Professor of Radiology Breast Imaging University of Southern California Keck School of Medicine Breast Cancer Mary Yamashita, M.D. Assistant Professor of Radiology Breast Imaging University of Southern California Keck School of Medicine DISCLOSURE Neither I nor my spouse has any relevant financial

More information

D. FREQUENTLY ASKED QUESTIONS

D. FREQUENTLY ASKED QUESTIONS ACR BI-RADS ATLAS D. FREQUENTLY ASKED QUESTIONS 1. Under MQSA, is it necessary to include a numeric assessment code (i.e., 0, 1, 2, 3, 4, 5, or 6) in addition to the assessment category in all mammography

More information

Information provided in these web pages was last updated on November 2, 2009 BREAST CANCER

Information provided in these web pages was last updated on November 2, 2009 BREAST CANCER BREAST CANCER BACKGROUND Facts about breast cancer Breast cancer affects both men and women, though it occurs rarely in men. Breast cancer is the most common form of cancer in women with the exception

More information

MALE BREAST CANCER - CASE REPORT AND BRIEF REVIEW

MALE BREAST CANCER - CASE REPORT AND BRIEF REVIEW Middle East Journal of Family Medicine, 2004; Vol. 6 (6) MALE BREAST CANCER - CASE REPORT AND BRIEF REVIEW Elias A Sarru', MD, MS, AAFP, ABFP Family Physician, Al Hasa Primary Care Services Division Faysal

More information

Breast Cancer. Presentation by Dr Mafunga

Breast Cancer. Presentation by Dr Mafunga Breast Cancer Presentation by Dr Mafunga Breast cancer in the UK Breast cancer is the second most common cancer in women. Around 1 in 9 women will develop breast cancer It most commonly affects women over

More information

BRCA1 and 2 Analysis. Because Knowledge is a Powerful Tool.

BRCA1 and 2 Analysis. Because Knowledge is a Powerful Tool. BRCA1 and 2 Analysis Because Knowledge is a Powerful Tool. Integrated Genetics and Integrated Oncology are committed to providing comprehensive care to you and your patients. Hereditary Breast and Ovarian

More information

Ductal carcinoma in situ (DCIS)

Ductal carcinoma in situ (DCIS) DIAGNOSIS: DCIS Ductal carcinoma in situ (DCIS) This factsheet gives information on an early form of breast cancer called ductal carcinoma in situ (DCIS). It explains what it is, how your breast is made

More information

A Guide to Breast Imaging: The Latest Technology for Screening and Detecting Breast Cancer

A Guide to Breast Imaging: The Latest Technology for Screening and Detecting Breast Cancer A Guide to Breast Imaging: The Latest Technology for Screening and Detecting Breast Cancer Sally Herschorn, MD Associate Professor of Radiology University of Vermont College of Medicine Medical Director

More information

ASPIRATION OF PALPABLE CYST

ASPIRATION OF PALPABLE CYST CYSTS ASPIRATION OF PALPABLE CYST GALACTOCELE New lump in nursing mother-soft to firm non-tender Treatment Aspiration FAT NECROSIS Usually there is a history of trauma - MVA, surgery. The fat dies and

More information

X-Plain Breast Cancer Reference Summary

X-Plain Breast Cancer Reference Summary X-Plain Breast Cancer Reference Summary The risk of breast cancer among Asian Americans living in the U.S. is relatively low compared to caucasian women. However, there is concern that the risk of breast

More information

Mammography: Risks and benefits. Zahra Anjomani

Mammography: Risks and benefits. Zahra Anjomani Mammography: Risks and benefits Zahra Anjomani Content Overview of Breast Cancer Mammography machine Risks and Benefits of Mammography Overview of Breast Cancer The most common form of cancer among women

More information

Ultrasound - Breast. What is Ultrasound Imaging of the Breast?

Ultrasound - Breast. What is Ultrasound Imaging of the Breast? Scan for mobile link. Ultrasound - Breast Ultrasound imaging of the breast uses sound waves to produce pictures of the internal structures of the breast. It s primarily used to help diagnose breast lumps

More information

Understanding Your Breast Cancer Pathology Report *

Understanding Your Breast Cancer Pathology Report * Understanding Your Breast Cancer Pathology Report * * Note: Your pathology report may contain all or some of the sections covered in this guide. Remember, your healthcare team is always available to help

More information

Evaluation and Management of the Breast Mass. Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003

Evaluation and Management of the Breast Mass. Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003 Evaluation and Management of the Breast Mass Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003 Common Presentations of Breast Disease Breast Mass Abnormal

More information

Breast Cancer. Sometimes cells keep dividing and growing without normal controls, causing an abnormal growth called a tumor.

Breast Cancer. Sometimes cells keep dividing and growing without normal controls, causing an abnormal growth called a tumor. Breast Cancer Introduction Cancer of the breast is the most common form of cancer that affects women but is no longer the leading cause of cancer deaths. About 1 out of 8 women are diagnosed with breast

More information

Sam & Jennie Bennett Breast Care Center

Sam & Jennie Bennett Breast Care Center Sam & Jennie Bennett Breast Care Center Sam & Jennie Bennett Breast Care Center d Central Maine Medical Center s Sam & Jennie Bennett Breast Care Center is a private place where a woman can find comprehensive

More information

Your Guide to the Breast Cancer Pathology Report

Your Guide to the Breast Cancer Pathology Report Your Guide to the Breast Cancer Pathology Report Developed for you by Breastcancer.org is a nonprofit organization dedicated to providing education and information on breast health and breast cancer. The

More information

patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015

patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015 patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015 BRCA1 and BRCA2 Mutations Cancer is a complex disease thought to be caused by several different factors. A few types of cancer

More information

Reduce Your Risk of Breast Cancer

Reduce Your Risk of Breast Cancer Reduce Your Risk of Breast Cancer Reduce Your Risk of Breast Cancer There was no history in my family. But the test was positive and it was breast cancer. I was so shocked, I couldn t believe it. ~ Colette

More information

Malignant Lesions. 1. Distribution of Tumor. 1.1. Unifocal Carcinoma

Malignant Lesions. 1. Distribution of Tumor. 1.1. Unifocal Carcinoma 23 Malignant Lesions 1. Distribution of Tumor 1.1. Unifocal Carcinoma Figure 23.1. A 40-year-old woman presented with a palpable mass in the periareolar region. Ultrasound core biopsy yielded invasive

More information

Male breast cancer - Wikipedia, the free encyclopedia

Male breast cancer - Wikipedia, the free encyclopedia pagina 1 van 5 Male breast cancer From Wikipedia, the free encyclopedia Male breast cancer is a relatively rare cancer in men that originates from the breast. As it presents a similar pathology as female

More information

6. Is there a known association of specific types of breast cancer and BRCA gene mutations? a. Specifically inflammatory breast cancer

6. Is there a known association of specific types of breast cancer and BRCA gene mutations? a. Specifically inflammatory breast cancer What s Jewish about BRCA? It is estimated that about one in 40 individuals with Ashkenazi Jewish ancestry has one of these three BRCA mutations. Approximately one in 10 women with breast cancer and one

More information

cells form in the breast tissue and grow into a tumor

cells form in the breast tissue and grow into a tumor WhatisBreastCancer? A disease where cancer (malignant) cells form in the breast tissue and grow into a tumor Women are more prone to breast cancer than any other type of cancer Men can get breast cancer

More information

CRICO Breast Care Management Algorithm

CRICO Breast Care Management Algorithm CRICO Breast Care Management Algorithm A DECISION SUPPORT TOOL Created: 1995 Revised: 2000, 2003, 2010 Current: 2014 Warm Gray 10 PC: 20c 29m 28y 56k 7417 PC: 0c 80m 80y 0k Improving Breast Patient Safety

More information

Mammography Education, Inc.

Mammography Education, Inc. Mammography Education, Inc. 2011 LÁSZLÓ TABÁR, M.D.,F.A.C.R (Hon) 3D image of a milk duct MULTIMODALITY DETECTION and DIAGNOSIS of BREAST DISEASES PRAGUE, Czech Republic Crown Plaza, Prague June 29 - July

More information

NWT Clinical Practice Information Notice

NWT Clinical Practice Information Notice NWT Clinical Practice Information Notice Upon receipt, please file this notice in Section C, Clinical Practice Information Binder for future reference. The following Clinical Practice has been approved

More information

BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader. Two years ago, I was working as a bedside nurse. One of my colleagues felt

BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader. Two years ago, I was working as a bedside nurse. One of my colleagues felt Ali A. Kader, S. (2010). Breast cancer awareness for women and men. UCQ Nursing Journal of Academic Writing, Winter 2010, 70 76. BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader Two years

More information

Male Breast Cancer. Abstract

Male Breast Cancer. Abstract Male Breast Cancer N. Kayani,M. N. Khan,Y. Bhurgri,S. Gill,M. I. Nasir ( The Aga Khan University Medical Center. Karachi. ) T. Siddiqui ( Departments of Pathology and Medicine, The Aga Khan University,

More information

Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Breast Cancer

Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Breast Cancer Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Breast Cancer Information for women and their families 1 What is breast cancer? The female breast is mainly consisted

More information

BREAST IMAGING H. Lee Moffitt Cancer Center and Research Institute

BREAST IMAGING H. Lee Moffitt Cancer Center and Research Institute BREAST IMAGING H. Lee Moffitt Cancer Center and Research Institute Rotation Director: Margaret Szabunio, M.D. General Goals: On this rotation, the resident will learn to interpret screening mammograms

More information

Hereditary Multifocal Breast Cancer. Farin Amersi M.D., F.A.C.S Division of Surgical Oncology Department of Surgery Cedar Sinai Medical Center

Hereditary Multifocal Breast Cancer. Farin Amersi M.D., F.A.C.S Division of Surgical Oncology Department of Surgery Cedar Sinai Medical Center Hereditary Multifocal Breast Cancer Farin Amersi M.D., F.A.C.S Division of Surgical Oncology Department of Surgery Cedar Sinai Medical Center CASE STUDY 30 year old Ashkenazi Jewish woman Nulliparous Felt

More information

Wisconsin Cancer Data Bulletin Wisconsin Department of Health Services Division of Public Health Office of Health Informatics

Wisconsin Cancer Data Bulletin Wisconsin Department of Health Services Division of Public Health Office of Health Informatics Wisconsin Cancer Data Bulletin Wisconsin Department of Health Services Division of Public Health Office of Health Informatics In Situ Breast Cancer in Wisconsin INTRODUCTION This bulletin provides information

More information

Solid Breast Nodules. Pathologic Results Type of CA. Benign vs. Malignant. Sonography of Solid Breast Nodules methods (old 750 nodules)

Solid Breast Nodules. Pathologic Results Type of CA. Benign vs. Malignant. Sonography of Solid Breast Nodules methods (old 750 nodules) Solid Breast Nodules Pathologic Results Type of CA Benign vs. Malignant Cindy Rapp BS, RDMS, FSDMS, FAIUM University of Colorado Hospital Denver, Colorado IDC (81.6%) ILC (4.8%) Medullary (4.0%) Mucinous

More information

Breast Cancer Screening

Breast Cancer Screening Breast Cancer Screening The American Cancer Society and Congregational Health Ministry Team October Module To access this module via the Web, visit www.cancer.org and type in congregational health ministry

More information

Outline. Workup for metastatic breast cancer. Metastatic breast cancer

Outline. Workup for metastatic breast cancer. Metastatic breast cancer Metastatic breast cancer Immunostain Update: Diagnosis of metastatic breast carcinoma, emphasizing distinction from GYN primary 1/3 of breast cancer patients will show metastasis 1 st presentation or 20-30

More information

Breast Cancer Screening

Breast Cancer Screening Breast Cancer Screening Summary of the Clinical Practice Guideline September 2013 These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate

More information

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES GP Referrals All GP referrals for asymptomatic women with a family history of breast and/or

More information

Breast Cancer Awareness Month

Breast Cancer Awareness Month Aon Kenya Insurance Brokers Ltd Aon Hewitt Healthcare Division Breast Cancer Awareness Month Issue 12 October 2015 In this Issue 2 Cancer Statistics in Kenya 3 What is Breast Cancer? 4 Symptoms of Breast

More information

SUNY DOWNSTATE MEDICAL CENTER SURGERY GRAND ROUNDS February 28, 2013 VERENA LIU, MD ROSEANNA LEE, MD

SUNY DOWNSTATE MEDICAL CENTER SURGERY GRAND ROUNDS February 28, 2013 VERENA LIU, MD ROSEANNA LEE, MD SUNY DOWNSTATE MEDICAL CENTER SURGERY GRAND ROUNDS February 28, 2013 VERENA LIU, MD ROSEANNA LEE, MD Case Presentation 35 year old male referred from PMD with an asymptomatic palpable right neck mass PMH/PSH:

More information

Breast Cancer. The Pathology report gives an outline on direction of treatment. It tells multiple stories to help us understand the patient s cancer.

Breast Cancer. The Pathology report gives an outline on direction of treatment. It tells multiple stories to help us understand the patient s cancer. Breast Cancer What Does the Pathology Report Say Normal Cells The Pathology report gives an outline on direction of treatment. It tells multiple stories to help us understand the patient s cancer. Non-Invasive

More information

Learning Objectives. Breast Density, Risk Assessment and Supplemental Screening Options. Breast Density. What is Breast Density??

Learning Objectives. Breast Density, Risk Assessment and Supplemental Screening Options. Breast Density. What is Breast Density?? , Risk Assessment and Supplemental Screening Options ASCLS ND Convention May 2016 Christina Tello Skjerseth, MD Sanford Health Bismarck Radiology Learning Objectives Understand what breast density is and

More information

Frequently Asked Questions About Ovarian Cancer

Frequently Asked Questions About Ovarian Cancer Media Contact: Gerri Gomez Howard Cell: 303-748-3933 gerri@gomezhowardgroup.com Frequently Asked Questions About Ovarian Cancer What is ovarian cancer? Ovarian cancer is a cancer that forms in tissues

More information

PART TWO: DIAGNOSING BREAST CANCER

PART TWO: DIAGNOSING BREAST CANCER PART TWO: DIAGNOSING BREAST CANCER What is Breast Cancer? Normal cells can turn into cancer because of genetic inheritance or repeated exposure to a cancer-related substance in the environment, such as

More information

This is a summary of what we ll be talking about today.

This is a summary of what we ll be talking about today. Slide 1 Breast Cancer American Cancer Society Reviewed October 2015 Slide 2 What we ll be talking about How common is breast cancer? What is breast cancer? What causes it? What are the risk factors? Can

More information

Benign Breast Cyst without Associated Gynecomastia in a Male Patient: A Case Report

Benign Breast Cyst without Associated Gynecomastia in a Male Patient: A Case Report Benign Breast Cyst without Associated Gynecomastia in a Male Patient: A Case Report Sana Parsian 1*, Habib Rahbar 1, Mara H. Rendi 2, Constance D. Lehman 1 1. Department of Radiology, University of Washington,

More information

Breast Sonography general goal. Optimizing Breast Sonography. BUS indications -- all. Breast Sonography specific goals.

Breast Sonography general goal. Optimizing Breast Sonography. BUS indications -- all. Breast Sonography specific goals. Optimizing general goal Cindy Rapp BS, RDMS, FAIUM, FSDMS University of Colorado Hospital Denver, Colorado to make a more specific diagnosis than can be made with clinical and mammographic findings alone

More information

Guide to Understanding Breast Cancer

Guide to Understanding Breast Cancer An estimated 220,000 women in the United States are diagnosed with breast cancer each year, and one in eight will be diagnosed during their lifetime. While breast cancer is a serious disease, most patients

More information

Mammography AND CLINICAL BREAST EXAMS. joytolife.org WHAT YOU SHOULD KNOW ABOUT BREAST CANCER HOW TO DO A BREAST SELF-EXAM EARLY DETECTION SAVES LIVES

Mammography AND CLINICAL BREAST EXAMS. joytolife.org WHAT YOU SHOULD KNOW ABOUT BREAST CANCER HOW TO DO A BREAST SELF-EXAM EARLY DETECTION SAVES LIVES Mammography AND CLINICAL BREAST EXAMS WHAT YOU SHOULD KNOW ABOUT BREAST CANCER HOW TO DO A BREAST SELF-EXAM joytolife.org EARLY DETECTION SAVES LIVES As a woman, you face many special concerns that call

More information

Florida Breast Health Specialists Breast Cancer Information and Facts

Florida Breast Health Specialists Breast Cancer Information and Facts Definition Breast cancer is a cancer that starts in the tissues of the breast. There are two main types of breast cancer: Ductal carcinoma starts in the tubes (ducts) that move milk from the breast to

More information

Pathology. Journal of Cancer 2012, 3

Pathology. Journal of Cancer 2012, 3 226 Case Report Ivyspring International Publisher Journal of Cancer 2012; 3: 226-230. doi: 10.7150/jca.4091 A Case Report: Lobular Carcinoma In Situ in a Male Patient with Subsequent Invasive Ductal Carcinoma

More information

Breast Disease Case Discussions. Dr Judy Galloway Breast Physician Royal Perth Hospital

Breast Disease Case Discussions. Dr Judy Galloway Breast Physician Royal Perth Hospital Breast Disease Case Discussions Dr Judy Galloway Breast Physician Royal Perth Hospital Relative frequencies of presenting symptoms of breast cancer Lump 76% Pain alone 10% Nipple changes 8% Breast asymmetry

More information

Benign Breast Disease. David Anderson, MD Assistant Professor of Clinical Surgery

Benign Breast Disease. David Anderson, MD Assistant Professor of Clinical Surgery Benign Breast Disease David Anderson, MD Assistant Professor of Clinical Surgery Overview Nipple Discharge Breast infection Breast Pain Gynecomastia Fibroepithelial lesions High Risk Lesions Papilloma,

More information

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical History

More information

Breast Viability and Pathology Unit 2. Bonnie A. Barnes,BA, R.T.(R)(M)(CT)(f) Xuan Ho, Ph.D., R.T. (R)

Breast Viability and Pathology Unit 2. Bonnie A. Barnes,BA, R.T.(R)(M)(CT)(f) Xuan Ho, Ph.D., R.T. (R) Breast Viability and Pathology Unit 2 Bonnie A. Barnes,BA, R.T.(R)(M)(CT)(f) Xuan Ho, Ph.D., R.T. (R) Content Developmental Stages of Breast Tissue Hormonal Influences Breast Augmentation or Reconstruction

More information

BREAST CANCER PATHOLOGY

BREAST CANCER PATHOLOGY BREAST CANCER PATHOLOGY FACT SHEET Version 4, Aug 2013 This fact sheet was produced by Breast Cancer Network Australia with input from The Royal College of Pathologists of Australasia I m a nurse and know

More information

Feeling Your Way To Healthy Breast. Lisa Barnes, BSN, RN Ruth Fay,B.A.,M.B.A.,RN Mary Grady, BSN, RN Margaret Richmond, MA, RN

Feeling Your Way To Healthy Breast. Lisa Barnes, BSN, RN Ruth Fay,B.A.,M.B.A.,RN Mary Grady, BSN, RN Margaret Richmond, MA, RN Feeling Your Way To Healthy Breast Lisa Barnes, BSN, RN Ruth Fay,B.A.,M.B.A.,RN Mary Grady, BSN, RN Margaret Richmond, MA, RN WHAT ARE MY BREASTS MADE OF? A breast is made of three main parts: glands,

More information

Breast cancer. A guide for journalists on breast cancer and its treatment

Breast cancer. A guide for journalists on breast cancer and its treatment Breast cancer A guide for journalists on breast cancer and its treatment Contents Contents 2 3 Section 1: Breast Cancer 4 i. What is breast cancer? 4 ii. Types of breast cancer 4 iii. Causes and risk factors

More information

Infrared Thermography Not a Useful Breast Cancer Screening Tool

Infrared Thermography Not a Useful Breast Cancer Screening Tool Contact: Jeanne-Marie Phillips Sharon Grutman HealthFlash Marketing The American Society of Breast Surgeons 203-977-3333 877-992-5470 Infrared Thermography Not a Useful Breast Cancer Screening Tool Mammography

More information

Medical Review Criteria Breast Surgeries

Medical Review Criteria Breast Surgeries Medical Review Criteria Breast Surgeries Effective Date: May 25, 2016 Subject: Breast Surgeries Policy: HPHC covers medically necessary breast surgeries including mastectomy, breast reconstruction, reduction

More information

What is DCIS? Contents. The breasts

What is DCIS? Contents. The breasts This information is an extract from the booklet Understanding ductal carinoma in situ (DCIS). You may find the full booklet helpful. We can send you a free copy see page 6. Contents The breasts What is

More information

BREAST IMAGING. Developed by the Ad Hoc Committee on Resident and Fellow Education of the Society of Breast Imaging

BREAST IMAGING. Developed by the Ad Hoc Committee on Resident and Fellow Education of the Society of Breast Imaging BREAST IMAGING Developed by the Ad Hoc Committee on Resident and Fellow Education of the Society of Breast Imaging Stephen A. Feig, M.D., Chair Ferris Hall, M.D. Debra Ikeda, M.D. Ellen Mendelson, M.D.

More information

Non-cancerous Breast Conditions

Non-cancerous Breast Conditions Non-cancerous Breast Conditions Non-cancerous breast conditions are very common and most women have them. In fact, most breast changes that are tested turn out to be benign. Benign is another word for

More information

Benign Mimics of Malignancy on Breast Imaging. MM Tyminski, DO; JE Watkins, MD, ET Ghosh, MD; R Hultman, DO; T Stockl, MD; SA MacMaster, MD

Benign Mimics of Malignancy on Breast Imaging. MM Tyminski, DO; JE Watkins, MD, ET Ghosh, MD; R Hultman, DO; T Stockl, MD; SA MacMaster, MD Benign Mimics of Malignancy on Breast Imaging MM Tyminski, DO; JE Watkins, MD, ET Ghosh, MD; R Hultman, DO; T Stockl, MD; SA MacMaster, MD Teaching Points: 1. Demonstrate benign entities of the female

More information

BREAST CANCER. What you should know about breast cancer. Saint Louis University Cancer Center

BREAST CANCER. What you should know about breast cancer. Saint Louis University Cancer Center SAINT LOUIS UNIVERSITY CANCER CENTER Our standing as an academic medical center puts the Saint Louis University Cancer Center at the forefront in developing and providing the latest medical treatment and

More information

Giant Epidermoid Cyst Presenting as Breast Lump in Male Rahul Gupta 1, *, Rozy Paul 2, Shyam Bihari Sharma 1

Giant Epidermoid Cyst Presenting as Breast Lump in Male Rahul Gupta 1, *, Rozy Paul 2, Shyam Bihari Sharma 1 Scholars Journal of Applied Medical Sciences (SJAMS) Sch. J. App. Med. Sci., 2014; 2(5F):1869-1873 Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources)

More information

Stephanie K. Patterson, MD,* Mark A. Helvie, MD,* Khadija Aziz, MD, and Alexis V. Nees, MD*

Stephanie K. Patterson, MD,* Mark A. Helvie, MD,* Khadija Aziz, MD, and Alexis V. Nees, MD* Blackwell Publishing Inc ORIGINAL ARTICLE DOI: 10.1111/j.1075-122X.2006.00298.x Outcome of Men Presenting with Clinical Breast Problems: The Role of Mammography and Ultrasound Stephanie K. Patterson, MD,*

More information

GENETIC CONSIDERATIONS IN CANCER TREATMENT AND SURVIVORSHIP

GENETIC CONSIDERATIONS IN CANCER TREATMENT AND SURVIVORSHIP GENETIC CONSIDERATIONS IN CANCER TREATMENT AND SURVIVORSHIP WHO IS AT HIGH RISK OF HEREDITARY CANCER? Hereditary Cancer accounts for a small proportion of all cancer or approximately 5-10% THE DEVELOPMENT

More information

MAMMOGRAPHY GOALS AND OBJECTIVES

MAMMOGRAPHY GOALS AND OBJECTIVES MAMMOGRAPHY GOALS AND OBJECTIVES GOALS: After completion of the mammography rotations, the resident will be able to: 1. Demonstrate learning of the knowledge-based objectives-(practice Base Learning) 2.

More information

IMMUNOHISTOCHEMICAL EXPRESSION IN MALE BREAST CANCER: TWO CASE REPORTS

IMMUNOHISTOCHEMICAL EXPRESSION IN MALE BREAST CANCER: TWO CASE REPORTS Immunohistochemical expression in male breast cancer IMMUNOHISTOCHEMICAL EXPRESSION IN MALE BREAST CANCER: TWO CASE REPORTS Shih-Wen Hu, 1,2 Je-Hen Chuang, 3 and Kun-Bow Tsai 1,2 1 Department of Pathology

More information

Breast Health Starts Here

Breast Health Starts Here Breast Health Starts Here k Breast Health Knowledge and self-awareness are powerful tools. Understanding and utilizing these tools starts with Lake Charles Memorial s Breast Health Program. Developing

More information

Advice about familial aspects of breast cancer and epithelial ovarian cancer a guide for health professionals DECEMBER 2010

Advice about familial aspects of breast cancer and epithelial ovarian cancer a guide for health professionals DECEMBER 2010 Advice about familial aspects of breast cancer and epithelial ovarian cancer a guide for health professionals DECEMBER 2010 This guide has three parts: 1. Information for health professionals 2. Tables

More information

Gray scale assessment of axillary lymph nodes in women suspected of breast cancer.

Gray scale assessment of axillary lymph nodes in women suspected of breast cancer. Gray scale assessment of axillary lymph nodes in women suspected of breast cancer. Ashley Boyd Honors Student Radiologic Sciences and Therapy/Allied Medical Professions Kevin D. Evans, PhD, RT (R)(M)(BD),

More information

Breast Imaging in Young Women

Breast Imaging in Young Women April 2011 Breast Imaging in Young Women Kelsey Sunderland Harvard Medical School, Year III Outline 1. Statistics of breast cancer in young women 2. Clinical presentation of a patient with benign breast

More information

VI. FREQUENTLY ASKED QUESTIONS CONCERNING BREAST IMAGING AUDITS

VI. FREQUENTLY ASKED QUESTIONS CONCERNING BREAST IMAGING AUDITS ACR BI-RADS ATLAS VI. FREQUENTLY ASKED QUESTIONS CONCERNING BREAST IMAGING AUDITS American College of Radiology 55 ACR BI-RADS ATLAS A. All Breast Imaging Modalities 1. According to the BI-RADS Atlas,

More information

Medullary Renal Cell Carcinoma Case Report

Medullary Renal Cell Carcinoma Case Report Bahrain Medical Bulletin, Vol. 27, No. 4, December 2005 Medullary Renal Cell Carcinoma Case Report Mohammed Abdulla Al-Tantawi MBBCH, CABS* Abdul Amir Issa MBBCH, CABS*** Mohammed Abdulla MBBCH, CABS**

More information

Breast Cancer in Men. What is cancer?

Breast Cancer in Men. What is cancer? What is cancer? Breast Cancer in Men The body is made up of trillions of living cells. Normal body cells grow, divide into new cells, and die in an orderly way. During the early years of a person's life,

More information

Something Old, Something New.

Something Old, Something New. Something Old, Something New. Michelle A. Fajardo, D.O. Loma Linda University Medical Center Clinical Presentation 6 year old boy, presented with hematuria Renal mass demonstrated by ultrasound & CT scan

More information

Breast Cancer Understanding your diagnosis

Breast Cancer Understanding your diagnosis Breast Cancer Understanding your diagnosis Let s Make Cancer History 1 888 939-3333 cancer.ca Breast Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and

More information

Today s Woman Staying Healthy

Today s Woman Staying Healthy Today s Woman Staying Healthy Risk Factors and Warning Signs for Women s Cancers Women s Cancer Research Institute at the Samuel Oschin Comprehensive Cancer Institute WHAT IS A GYNECOLOGIST, AND WHAT DOES

More information

7.3. Breast Cancer: Correlations Between Imaging and Morphological Details. Spiculated Densities. Introduction. Chapter.

7.3. Breast Cancer: Correlations Between Imaging and Morphological Details. Spiculated Densities. Introduction. Chapter. Chapter Breast Cancer: Correlations Between Imaging and Morphological Details 7.3 Edward Azavedo Contents Introduction........................... 785 Spiculated Densities....................... 785 Developing

More information

Early detection saves lives

Early detection saves lives Digital Infrared Thermal Imaging (DITI) used for adjunctive Breast Disease Screening Can Enhance Early Detection : Early detection saves lives DITI's role in breast cancer and other breast disorders is

More information

Ductal Carcinoma in Situ: A Case Report

Ductal Carcinoma in Situ: A Case Report Ductal Carcinoma in Situ: A Case Report Abstract Breast ductal carcinoma in situ (DCIS) is a preinvasive form of breast cancer and is the most common type of in situ breast cancer found in women. There

More information

Sigmoid Stenosis caused by diverticulitis versus carcinoma: Can they be differentiated by ultrasound?

Sigmoid Stenosis caused by diverticulitis versus carcinoma: Can they be differentiated by ultrasound? Sigmoid Stenosis caused by diverticulitis versus carcinoma: Can they be differentiated by ultrasound? T Ripollés, MD; MJ Martínez, MD; C Fernández, MD; J Vizuete, MD; D Gómez, MD; G Martín, MD. Department

More information