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Year : 2020  |  Volume : 27  |  Issue : 3  |  Page : 216-218

A rare case of intraductal papilloma with atypical ductal hyperplasia in a male breast: A pathological diagnosis

1 Department of Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
2 Department of Surgical Oncology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Correspondence Address:
Dr. Jyotsna Naresh Bharti
Type III Quarters, 301/6, All India Institute of Medical Sciences, Jodhpur Residential Complex, Basni Phase II, Jodhpur - 342 005, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfcm.JFCM_230_20

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Male breast cancer is itself a very rare condition and represents 0.5%–1% of all breast cancers diagnosed. Atypical ductal hyperplasia (ADH), intraductal papilloma (IP), and ductal carcinoma in situ are also very rare in a male breast. Only a few cases of ADH with gynecomastia have been reported in English literature until now. Here, we report a rare case of an IP with ADH associated with gynecomastia in an elderly male, who complained of right nipple pain, discharge, and tiny retroareolar mass. Mammography showed a subareolar nodule graded as the Breast Imaging-Reporting and Data System 4B. It is difficult to differentiate, both clinically and radiologically, between benign and malignant papillary lesions and invasive carcinoma, because of the similarity of findings. Hence, any male with palpable unilateral hard fixed lesions in the retroareolar region with complaints of nipple discharge, skin changes, or axillary lymphadenopathy should have a histopathological evaluation.

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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010