Overuse of imaging the male breast-findings in 557 patients

The Breast Journal
Oren LapidHarmien M Zonderland

Abstract

Gynecomastia is the most common abnormality of the male breast. However, breast cancer may occur, albeit with a significantly lower incidence than in females. Imaging is often used as part of the diagnosis. The aim of this study was to assess the utilization and outcome of imaging with mammography or ultrasound of the male breast in a university hospital's department of radiology. A retrospective study assessing the imaging of the male breast in 557 patients over a 10-year period. Referral was done mainly by general surgeons and general practitioners. The most common indication was enlargement of the breast, described as gynecomastia or swelling in 74% of patients, followed by pain in 24% and "lumps" in 10%. The modalities used were mammography in 65%, ultrasound in 51% and both in 26%. Most examinations, 519, were BI-RADS 1 or 2, and 38 were BI-RADS 3 or higher. Altogether 160 patients had additional fine-needle aspiration or biopsy. Malignancies were diagnosed in five patients (0.89%). Imaging had a sensitivity of 80% and a specificity of 99%. The positive predictive value was 44% and the negative predictive value 99.8%. Malignancies are rare in the male breast. The probability of finding cancer when performing imaging of cli...Continue Reading

References

Jan 1, 1986·AJR. American Journal of Roentgenology·D D Dershaw
Oct 1, 1984·The American Journal of Medicine·C B Niewoehner, F Q Nuttal
Apr 1, 1995·AJR. American Journal of Roentgenology·P K ChantraL W Bassett
May 21, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·A H AppelbaumT D Schumpert
Jun 27, 2001·American Journal of Surgery·G F EvansA H Appelbaum
Oct 20, 2001·AJR. American Journal of Roentgenology·M S SooB A Boyd
Sep 3, 2002·European Journal of Radiology·Işil Günhan-BilgenAyşenur Memiş
Nov 4, 1961·JAMA : the Journal of the American Medical Association·M NYDICKR W RAWSON
Sep 9, 2006·The Breast Journal·Stephanie K PattersonAlexis V Nees
Mar 14, 2007·Mayo Clinic Proceedings·Stephanie L HinesEdith A Perez
Sep 21, 2007·The New England Journal of Medicine·Glenn D Braunstein
Jan 23, 2008·The Breast : Official Journal of the European Society of Mastology·Kamila CzeneBergh Jonas
Mar 24, 2010·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Larissa A KordeFatima Cardoso
Jun 22, 2010·The Breast Journal·Zehra Hilal AdibelliEnver Ilhan
Jun 24, 2010·European Radiology·Rafaela Muñoz CarrascoMaría Martínez Paredes
Nov 28, 2012·European Journal of Radiology·Rafaela Muñoz CarrascoEleonor Rivin del Campo
Jun 22, 2013·Annals of Plastic Surgery·Oren LapidSybren L Meijer

❮ Previous
Next ❯

Citations

Apr 22, 2016·AJR. American Journal of Roentgenology·Emily B SonnenblickLaurie R Margolies
Nov 7, 2015·Acta Radiologica·Åse TangerudMats Julius Stensrud
Apr 23, 2015·The Breast Journal·Iraj Khalkhali, John Cho
Nov 30, 2020·Clinical Imaging·Nayanatara SwamyGwendolyn Bryant-Smith

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.