International Journal of Medical Advances and Discoveries

ISSN 2756-3812

International Journal of Medical Advances and Discovery ISSN 2756-3812 Vol. 2 (3), pp. 001-006, March, 2011. © International Scholars Journals

Case Report

Breast mass in a male Nigerian adult

Akinola Rachael Adeyanju1, Oshinyimika Adesegun2, Benebo Adokiye S3, Wright Kikelomo Ololade4, Akanji Akinwunmi Olalekan1, Alakija Ayo1, Tijani Afusat Iyabode5

1Radiology Department, College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

2Department of Surgery, Orile Agege General Hospital, Agege, Lagos, Nigeria

3Department of Pathology and Forensic Medicine,College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

4Department of Community Health and Primary Healthcare,College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

5Department of Radiology, Orile Agege General Hospital, Agege, Lagos, Nigeria

Accepted 13 October, 2010

Abstract

A 57 year old car mechanic presented with a painless right breast mass which started in form of a boil and has been increasing in size. A chest x-ray, ultrasound scan and a conventional mammography done confirmed a well defined rounded mass which was not spiculated but was attached to the retro-mammary plate. There was no associated architectural distortion or suspicious calcification. An ACR Bi-rads 3 category lesion was diagnosed and a workup sonomammography was recommended. Ultrasound scan revealed a well defined, lobulated, heterogeneous mass with a distinct capsule suggesting a final Bi-rads 4 category lesion. A fine needle aspiration biopsy was recommended but patient opted for a mastectomy. The histology report after mastectomy however revealed an invasive lobular carcinoma with an invasive ductal component, Grade II. We present this rare disease of male breast cancer, giving a brief literature review. Also the relevance of the imaging modalities and histology in its diagnosis is highlighted.

Key words: Breast Cancer, Nigerian, Male