PDF(Pubmed)
Abstract：
Breast abscess in males is a rare condition, which accounts for 1%-3% of all documented breast diseases. Males with certain risk factors may develop a breast abscess. The ultrasonographic, mammographic, and pathological characteristics of this case will be highlighted in the report. A 51-year-old morbidly obese Saudi male who is a 160-pack-years smoker presented to our surgical clinic complaining of a right breast mass that presented a long time ago and was changing in size. The mass was painless until 5 days prior to presentation. On physical examination, a firm nonmobile 3 × 4 cm mass was felt at 10-12-o\'clock, 1 cm away from the nipple. A bilateral X-ray mammogram and ultrasound were performed with fine needle aspiration and culture. The mammogram of the right breast showed a well-circumscribed subareolar mass with equal density, and it was also associated with overlying skin thickening and relative breast parenchymal edema. The fine needle aspiration grossly showed yellowish-green turbid content followed by turbid blood. The anaerobic culture results showed the gram-positive cocci, Finegoldia Magna. The patient was then instructed to take an antibiotic accordingly and return after 1 week. Fine needle aspiration and culture were performed again after antibiotics and grossly showed 2-3 cc of pus without any growth in culture. Male breast disorders are typically benign, with gynecomastia being the most prevalent, and malignancy being the most serious despite its rarity. Breast abscesses are a challenging clinical condition, and radiologists have a pivotal role in evaluation and follow-up of these lesions.
摘要：
男性的乳腺脓肿是一种罕见的疾病，占所有记录的乳腺疾病的1%-3%。具有某些危险因素的男性可能会发展为乳房脓肿。超声检查，乳房X光,报告将重点介绍该病例的病理特征。一名51岁的病态肥胖的沙特男性，是一名160岁的吸烟者，他被送到我们的外科诊所，抱怨很久以前就出现了右乳房肿块，并且大小正在变化。直到出现前5天该肿块是无痛的。在体检时，在10-12点感觉到一个坚固的3×4厘米的非移动质量，距离乳头1厘米。使用细针穿刺和培养进行双侧X射线乳房X线照片和超声检查。右乳房的乳房X线照片显示出界限清楚的乳晕下肿块，密度相等，它还与上覆皮肤增厚和相对的乳房实质水肿有关。细针抽吸大致显示黄绿色浑浊，然后是浑浊的血液。厌氧培养结果显示为革兰氏阳性球菌,FinegoldiaMagna.然后指示患者相应地服用抗生素并在1周后返回。抗生素后再次进行细针抽吸和培养，大致显示2-3cc脓液，培养物中无任何生长。男性乳房疾病通常是良性的，男性乳房发育症是最普遍的，恶性肿瘤是最严重的，尽管它很少。乳腺脓肿是一种具有挑战性的临床疾病，放射科医师在这些病变的评估和随访中起着关键作用。
