ARRS 2022 Abstracts

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E1783. Imaging Male Breast Disease: Reconsidering the Usual Suspects
Authors
  1. Hana Haver; University of Maryland Medical Center
  2. Benjamin Martin; University of Maryland Medical Center
  3. Nikki Tirada; University of Maryland Medical Center
Background
Although the male breast is affected by many of the same pathologies that are well associated with the female breast, male breast disease remains a diagnostic challenge to the radiologist who likely encounters relatively few of these patients. Male patients tend to present at more advanced stages of disease compared to their female counterparts. The purpose of this exhibit is to increase the radiologist’s familiarity with the basic features of malignant and benign breast disease in male patients to facilitate decision-making surrounding biopsy and clinical referral.

Educational Goals / Teaching Points
This exhibit aims to address frequently asked questions (FAQ) that may be encountered when imaging the male breast. Each FAQ will be addressed by reviewing real patient cases and discussing imaging features, diagnostic strategy, and poignant clinical information to inform the radiologist’s approach to male breast imaging.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Male breast disease topics encountered in this exhibit include breast cancers, breast infection, sequalae of breast trauma, and gynecomastia. We will also discuss questions that may arise during each case. For instance, is there a minimum age limit for a mammogram that can be performed in young male with suspected gynecomastia? Should a man with a personal history of breast cancer or known breast cancer gene (BRCA) 1 and 2 get a screening mammogram? How should transgender individuals be screened for breast cancer? Finally, what is the role of MRI in male breast cancer? Radiologic features of each disease entity will be shown in a multimodality format that includes ultrasound, mammogram, and MRI. Pathologic and clinical correlation images will be included for certain entities as appropriate.

Conclusion
When imaging male breast disease, we ask learners to reconsider the usual suspects and build on their knowledge of entities known to affect the female breast, with attention to the unique presentation, diagnostic assessment, and management of those in males and special populations, including transgender individuals.