Purpose. To evaluate the role of high frequency colour-Doppler ultrasound in the study of diffuse or local breastnodules in males, and compare these results with thoseof mammography.Materials and methods. We studied 105 men agedbetween 12 and 82 years (mean age 42.3 years) with apalpable breast mass with or without pain. All patientsunderwent clinical and ultrasound examination. Seventyeightalso underwent mammography, whereas 27 did notbecause of young age (under 25 years) (n=10), no clinicalor sonographic suspicion of a malignant mass(n=16), and ulcerated neoplastic lesion (n=1). The finaldiagnosis derived from surgery in six patients and fromthree-year follow-up for 99 patients.Results. Eighty-nine patients had gynecomastia (85%),nine had adipomastia (8%), one had fibrolipoma (1%),five had carcinoma (5%) (invasive ductal carcinoma infour and bifocal ductal carcinoma and lobular carcinomain one patient) and one had liposarcoma (1%). Theclinical examination detected a bilateral (n=66) or unilateral(n=39) breast mass. Ultrasonography provided thecorrect diagnosis of diffuse nodular pathology in allcases and orientated diagnosis towards malignancy (6cases) or benignity (1 case) of the lesions. No additionalinformation was obtained from mammography, ascompared to high-frequency ultrasonography. The integrationof colour-Doppler in the examination was oflittle use as it demonstrated extensive vascularisation ofmost (5 cases) of the malignant lesions.Conclusions. Our results indicate that ultrasound allowsthe detection and characterization of palpable breastmasses as well as correct local staging of neoplasmsby identifying the degree of infiltration of the surroundingtissues.
|Rivista||LA RADIOLOGIA MEDICA|
|Stato di pubblicazione||Published - 2004|
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