Male Breast Cancer: The Need for High Index of Suspicion and Early Utilisation of Imaging

Abstract

A 45-year-old man presented to our health facility with a three-month history of right breast mass and bloody nipple discharge. Prior to  presentation he was at a peripheral hospital where he was wrongly diagnosed and managed for furunculosis. Breast ultrasound scan and  mammography done at our health facility revealed a lobulated right retro-areolar complex mass with spiculated margins,  encroaching adjacent breast parenchyma. A Radiological diagnosis of right breast BIRADS 5 Lexicon category lesion was made. He had Auchincloss modified radical mastectomy of the right breast, and the histology of the excised specimen confirmed the diagnosis of right  breast mucinous carcinoma. Following satisfactory surgical wound healing, he was further managed with post-operative radiotherapy,  chemotherapy and hormonal therapy. He has been on regular follow-up for five over years now, and his response to management is  satisfactory.