Breast Cancer in Men: Radiological Particularities - Through a Case in the Service

Breast cancer in men is a rare pathology. Among all breast cancers, less than 1 percent affect men. It is often unsuspected in men who generally hesitate to seek medical attention, which delays diagnosis and treatment. It generally presents the same risk factors and therapeutic modalities as in women, but still has some clinical and radiological particularities. In this study, we describe the typical radiological appearance of breast cancer in men, as visualized through our case from the department, to identify the radiological particularities of male breast cancer, thus facilitate early diagnosis and knowledge of differential diagnoses to avoid unnecessary biopsies. The ultrasound-mammography combination is the gold standard, followed by a biopsy for histological confirmation. The tumor is often retro-areolar, and any excentric location is suspicious of malignancy. Mammography rarely shows microcalcifications, unlike in women. Ultrasound allows for a positive diagnosis by guiding the biopsy, evaluating extension to the pectoral muscle, and establishing differential diagnoses. MRI is not indicated in male subjects. Invasive ductal carcinoma constitutes the majority of cases. The Treatment consists of a mastectomy in combination with other therapeutic modalities such as hormone therapy, radiotherapy, and chemotherapy. Conservative treatment has no place in men. The prognosis is bleaker than in women due to diagnostic delay caused by neglect and lack of understanding of the disease by men.