DBT There is no relevant literature regarding the use of DBT in the evaluation of men <25 years of age with an indeterminate palpable breast mass. However, if there are suspicious or indeterminate features on US, mammography or DBT should be performed before a biopsy recommendation is made because mammography is useful in distinguishing malignancy from benign breast conditions in symptomatic males [1,2]. DBT can be performed in men and demonstrates similar imaging appearances for benign and malignant male breast disorders as mammography [14,15,26]. US Breast Some authors suggest that using US is useful as the initial imaging modality in the young male who is unlikely to have breast cancer and who presents with an indeterminate physical symptom [3]. However, gynecomastia and oil cysts can have a suspicious appearance on US but can typically be diagnosed as benign on mammography or DBT. Therefore, if there are suspicious features on US, mammography or DBT should be performed before a biopsy recommendation is made. Evaluation of the Symptomatic Male Breast MRI Breast There is no relevant literature regarding the use of MRI as the initial imaging study in the evaluation of men <25 years of age with an indeterminate palpable breast mass. Variant 3: Male 25 years of age or older with indeterminate palpable breast mass. Initial imaging. Breast cancer is a disease of older men and typically presents at a later age than in women at a median age of 63 years [5]. If clinical breast examination is indeterminate, imaging is recommended prior to biopsy recommendation. Mammography For men with an equivocal physical examination and of an age at which breast cancer is more likely, mammography or DBT is recommended as the initial imaging modality. Diagnostic mammography is useful in distinguishing malignancy from benign breast conditions in symptomatic males [1,2].
Evaluation of the Symptomatic Male Breast. DBT There is no relevant literature regarding the use of DBT in the evaluation of men <25 years of age with an indeterminate palpable breast mass. However, if there are suspicious or indeterminate features on US, mammography or DBT should be performed before a biopsy recommendation is made because mammography is useful in distinguishing malignancy from benign breast conditions in symptomatic males [1,2]. DBT can be performed in men and demonstrates similar imaging appearances for benign and malignant male breast disorders as mammography [14,15,26]. US Breast Some authors suggest that using US is useful as the initial imaging modality in the young male who is unlikely to have breast cancer and who presents with an indeterminate physical symptom [3]. However, gynecomastia and oil cysts can have a suspicious appearance on US but can typically be diagnosed as benign on mammography or DBT. Therefore, if there are suspicious features on US, mammography or DBT should be performed before a biopsy recommendation is made. Evaluation of the Symptomatic Male Breast MRI Breast There is no relevant literature regarding the use of MRI as the initial imaging study in the evaluation of men <25 years of age with an indeterminate palpable breast mass. Variant 3: Male 25 years of age or older with indeterminate palpable breast mass. Initial imaging. Breast cancer is a disease of older men and typically presents at a later age than in women at a median age of 63 years [5]. If clinical breast examination is indeterminate, imaging is recommended prior to biopsy recommendation. Mammography For men with an equivocal physical examination and of an age at which breast cancer is more likely, mammography or DBT is recommended as the initial imaging modality. Diagnostic mammography is useful in distinguishing malignancy from benign breast conditions in symptomatic males [1,2].