International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

     
Case Report
 
A case of subareolar abscess in the male breast: Usefulness of magnetic resonance imaging scan for diagnosis
Takaaki Fujii1, Keiko Yanai1, Shoko Tokuda1, Yuko Nakazawa1, Sasagu Kurozumi1, Sayaka Obayashi1, Reina Yajima1, Tomoko Hirakata1, Hiroyuki Kuwano1
1Department of General Surgical Science, Graduate School of Medicine, Gunma University, Gunma, Japan

Article ID: Z01201710CR10841TF
doi:10.5348/ijcri-2017102-CR-10841

Address correspondence to:
Department of General Surgical Science
Graduate School of Medicine, Gunma University
3-39-22 Showa-machi, Maebashi
Gunma 371-8511
Japan

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How to cite this article
Fujii T, Yanai K, Tokuda S, Nakazawa Y, Kurozumi S, Obayashi S, Yajima R, Hirakata T, Kuwano H. A case of subareolar abscess in the male breast: Usefulness of magnetic resonance imaging scan for diagnosis. Int J Case Rep Images 2017;8(10):659–662.


ABSTRACT
Introduction: Subareolar abscess in the male breast is extremely rare. The main concern with this condition is performing the differential diagnosis, since clinically it often resembles breast cancer.
Case Report: A 30-year-old Japanese male presented with pain and swelling of the left breast. Physical examination revealed a 3.0x3.0 cm palpable lump with redness of the skin in the left subareolar region. Magnetic resonance imaging (MRI) scan showed a ring-enhancing mass without wash out with central necrosis below the left nipple, suggesting subareolar abscess. A core needle biopsy was performed, and histological findings revealed granulation tissue with the infiltration of numerous neutrophils, a finding that was compatible with subareolar abscess.
Conclusion: Male subareolar abscess is quite a rare disease, however, awareness of how to perform differential diagnosis of subareolar abscess and the use of MRI scan may help in making a definitive diagnosis of subareolar abscess in the male breast and might aid in the proper management of the condition.

Keywords: Breast cancer, Male breast, Pain and swelling of present, Subareolar abscess



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Acknowledgements
We would like to thank Saitoh Y, Yano T, Matsui Y, and Okada S for their secretarial assistance.

Author Contributions
Takaaki Fujii – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Keiko Yanai – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Shoko Tokuda – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yuko Nakazawa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sasagu Kurozumi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sayaka Obayashi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Reina Yajima – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Tomoko Hirakata – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hiroyuki Kuwano – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Takaaki Fujii et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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