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Sonographic Features of Primary Breast Cancer in Men

Wei Tse Yang1, Gary J. Whitman2, Edmund H. Y. Yuen1, Gary M. K. Tse3 and Carol B. Stelling2

1 Department of Diagnostic Radiology and Organ Imaging, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
2 Division of Diagnostic Imaging, Breast Imaging Section, The University of Texas M. D. Anderson Cancer Center, Box 57, 1515 Holcombe Blvd., Houston, TX 77030.
3 Department of Anatomical and Cellular Pathology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.



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Fig. 1. 69-year-old man with biopsy-proven papillary ductal carcinoma in situ. Sonogram in radial plane shows predominantly cystic mass (open arrows) with intraluminal soft-tissue projection (short thin arrow) and fluid-fluid layer (thick arrow).

 


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Fig. 2. 70-year-old man with biopsy-proven invasive ductal carcinoma. Color-flow Doppler sonogram in radial plane shows heterogeneously hypoechoic solid mass with single peripheral vessel (arrow).

 


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Fig. 3A. 65-year-old man with biopsy-proven papillary ductal carcinoma in situ. Sonogram in antiradial plane shows thick-walled cystic lesion (open arrows) with fluid-debris layer (white arrow) and possible solid component (black arrow).

 


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Fig. 3B. 65-year-old man with biopsy-proven papillary ductal carcinoma in situ. Sonogram obtained during aspiration shows shaft of needle (open arrows). Remnant cyst contained residual solid component (white arrow). Subsequent sonographically guided core biopsy (not shown) of solid component revealed carcinoma.

 


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Fig. 4. 65-year-old man with biopsy-proven infiltrating ductal carcinoma. Mediolateral oblique mammogram shows round high-density subareolar mass (arrow) eccentric to nipple.

 

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