Learning objectives
To illustrate the most common findings in male breast
To describe the risk factors associated with male breast cancer
To establish the most appropriate imaging algorithm for male patient utilizing the ACR appropriateness criteria®
Background
Imaging of male breast is common in routine radiology practice
The majority of the findings in male patients are benign
Male breast cancer is uncommon,
it accounts for less than 1% of all breast cancers
Although incidence of breast cancer in men is low,
it increases over time [1]
5- year survival rates are similar if compared stage-to-stage between men and women,
but men tend to present with more advanced stages of disease when axillary metastatic disease is present that worsens prognosis and negatively affects...
Findings and procedure details
Introduction of ACR Appropriateness Criteria®
Background: in the 1990’s there was a lack of evidence-based decision making tools to assist medical practitioners with their choice of imaging technique
What is this: A practical guideline to help clinicians and radiologists choose appropriate imaging modality or technique for evaluation of specific disease or condition
Who: Created by a panel of experts in subspecialty fields and revised periodically
What the experts do: Monitor,
collect,
critically appraise and analyze data on specific clinical topic or disease
Where to find:...
Conclusion
ACR Appropriateness Criteria® offers practical guidelines for the evaluation of symptomatic male breast,
this has been adapted into a schematic algorithm
Although male breast cancer is rare,
men can present with more advanced stages of breast cancer
This may be due to a lack of knowledge among medical specialists about appropriate imaging tools available for them,
and of radiologic features associated with breast cancer in men
There is no standardized protocol for imaging evaluation of male patients,
an algorithm is suggested based on age and...
References
Ruddy KJ,
Winer EP.
Male breast cancer: risk factors,
biology,
diagnosis,
treatment and survivorship.
Annals of Oncology (2013) 24: 1434–1443
Giordano SH,
Cohen DS,
Buzdar AU,
et al.
Breast carcinoma in men: a population based study.
Cancer (2004);101:51-57
Chesebro AL,
Rives AF,
Shaffer K.
Male breast disease: what the radiologist need to know.
Current problems in diagnostics radiology 00 (2018): 1-12
Chau A,
Jafarian N,
Rosa M.
Male breast: clinical and imaging evaluations of benign and malignant entities with histologic correlation.
The American Journal of...