Value of diagnostic imaging for the symptomatic male breast: Can we avoid unnecessary biopsies?
作者信息
Foo Eric T, Lee Amie Y, Ray Kimberly M, Woodard Genevieve A, Freimanis Rita I, Joe Bonnie N
机构信息
Department of Radiology and Biomedical Imaging, University of California San Francisco, 1600 Divisadero Street, San Francisco, CA 94115, USA.
Department of Radiology and Biomedical Imaging, University of California San Francisco, 1600 Divisadero Street, San Francisco, CA 94115, USA.
出版信息
Clin Imaging. 2017 Sep-Oct;45:86-91. doi: 10.1016/j.clinimag.2017.06.004. Epub 2017 Jun 9.
PURPOSE
To review the use of diagnostic breast imaging and outcomes for symptomatic male patients.
METHODS
We retrospectively evaluated 122 males who underwent diagnostic imaging for breast symptoms at our academic center.
RESULTS
The majority (94%) of cases had negative or benign imaging, with gynecomastia being the most common diagnosis (78%). There were two malignancies, both of which had positive imaging. Fifteen patients underwent percutaneous biopsy, and over half (53%) were palpation-guided biopsies initiated by the referring clinician despite negative imaging. Diagnostic imaging demonstrated 100% sensitivity and 96% specificity for identifying cancer.
CONCLUSIONS
Malignancy is rarely a cause of male breast symptoms. Diagnostic breast imaging is useful to establish benignity and avert unnecessary biopsies.
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