Intracystic papilloma in male breast: ultrasonography and pneumocystography diagnosis

A papilloma in a large cyst of the breast: A case report

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Intracystic lesions of the breast prove to be benign more often than malignancy.

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Most intracystic lesions are benign papillomas.

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Generally sizes of cysts that contain papilloma are small. Relatively cysts that contain papillary carcinoma are large.

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We present a 53-year-old with a papilloma in a large cyst of the breast that presented a painless palpable mass.

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Excisional biopsy may be needed to make a proper diagnosis for the suspicious lesion.

Introduction

Intracystic lesions of the breast prove to be benign more often than malignancy, most intracystic lesions are benign papillomas. Generally sizes of cysts that contain papilloma are small. Relatively cysts that contain papillary carcinoma are large. A papilloma in a large cyst of the Breast is rare.

Presentation of case

We report a rare case of a papilloma in a large cyst of the breast that presented a painless palpable mass. A 53-yr-old woman noticed palpable mass in her right breast. Ultrasonography indicated a 7 × 7 cm sized large cyst. There is a 2 × 2.5 cm sized hyper-echoic, polypoid mass in the cyst. On fine-needle aspiration was not obtained malignant cells. Excisional biopsy was done. Pathologic finding was papilloma.

Discussion

Tumors in a large cyst of the breast is difficult in distinguish benign from malignancy by preoperative imaging, cytological and histological study.

Conclusion

Excisional biopsy should be performed before cancer surgery such as mastectomy to manage the cysts with intracystic growths.

Intracystic papilloma in the breast of a male given long-term phenothiazine therapy: A case report

We experienced a very rare case of intracystic papilloma in a 57-year-old man who came to our hospital complaining of a left subareolar mass and nipple discharge. The patient had a history of chronic schizophrenia, necessitating long-term treatment with phenothiazines. His serum prolactin levels were elevated. Mammography demonstrated a well defined mass with microcalcifications. Ultrasonography revealed a cyst with an intracystic component. The inner lesion of the mass enhanced on contrast-enhanced computed tomography. The carcinoembryonic antigen concentration of the cyst fluid was 400 ng/mL and no malignant cells were found by aspiration biopsy cytology. Excisional biopsy was performed under local anesthesia. Pathological examination revealed the intracystic component to be intracystic papilloma. There are ten reports of male intracystic papilloma including ours. We report the second case of a patient given long-term phenothiazine therapy, which is known to increase serum prolactin levels.