Infiltrating duct carcinoma in a male patient

Case No. 02-01
2002 Case Studies

Submitted by: Dr. Evelyn Tanquiamco-Icao

Institution: Westmead Hospital

Date: May 2002

Patient Age: 55 years

HISTORY

55 year old male noticed a slow growing lump in the upper outer quadrant of his right breast twelve months prior to presentation. He sought medical consult four months after but was dismissed as benign. Four weeks prior to presentation the lump was noted to be 'rapidly growing', harder but non-tender.

No history of trauma. Denies any history of steroid intake nor any other medications. There were no systemic symptoms, no nipple discharges, no weight loss noted. No previous surgery. No family history of breast cancer.

Married with a 28 year old son. Works as a bus driver. Has four brothers all are healthy. Non-smoker and is a social drinker.

PHYSICAL EXAMINATION

Medium built, previously healthy with mild bilateral gynaecomastia. There was a 1.5 cm mass on the right breast at 10 o’clock position, 6 cm from the nipple. The mass was hard with irregular edges, no fixation to the underlying structure and skin. There were no palpable nodes in the axilla nor in the supraclavicular area.