Department of Diagnostic Radiology, Changi General Hospital, 2 Simei Street 3, Singapore 529889. tien_
Singapore Med J. 2013 Jun;54(6):347-52. doi: 10.11622/smedj.2013130.
A 51-year-old man with no significant medical history was referred to our institution for further management of a palpable, painless right breast lump that had been gradually increasing in size for a period of six months. Physical examination revealed a firm right breast lump and bloody right nipple discharge, but no skin involvement or axillary lymphadenopathy was observed. Subsequent mammography and breast ultrasonography demonstrated a discrete, heterogeneous and vascular right breast mass with spiculated and angulated margins. The breast mass was found to be an invasive ductal carcinoma on ultrasonography-guided core needle biopsy. This case illustrates that a combination of detailed clinical history, careful physical examination and radiological assessment using mammography and breast ultrasonography may be used to identify cases suspicious for male breast carcinoma that warrant biopsy.
一位 51 岁的男性，无明显病史，因可触及、无痛性右乳肿块逐渐增大六个月就诊于我院，需进一步治疗。体格检查发现右乳质硬肿块，右侧乳头血性溢液，但无皮肤受累或腋窝淋巴结肿大。随后的乳房 X 线摄影和乳房超声检查显示右侧乳腺有一个边界呈毛刺状和角状的离散、不均匀和富血管的乳腺肿块。超声引导下的核心针活检显示乳腺肿块为浸润性导管癌。本例说明，详细的临床病史、仔细的体格检查以及使用乳房 X 线摄影和乳房超声进行的影像学评估相结合，可用于发现疑似男性乳腺癌的病例，这些病例需要进行活检。
