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Incremental Role of Mammography in the Evaluation of Gynecomastia in Men Who Have Undergone Chest CT
- Source :
- AJR. American journal of roentgenology. 207(2)
- Publication Year :
- 2016
-
Abstract
- The purpose of this study was to determine whether additional breast imaging is clinically valuable in the evaluation of patients with gynecomastia incidentally observed on CT of the chest.In a retrospective analysis, 62 men were identified who had a mammographic diagnosis of gynecomastia and had also undergone CT within 8 months (median, 2 months). We compared the imaging findings of both modalities and correlated them with the clinical outcome.Gynecomastia was statistically significantly larger on mammograms than on CT images; however, there was a high level of concordance in morphologic features and distribution of gynecomastia between mammography and CT. In only one case was gynecomastia evident on mammographic but not CT images, owing to cachexia. Two of the 62 men had ductal carcinoma, which was obscured by gynecomastia. Both of these patients had symptoms suggesting malignancy.The appearance of gynecomastia on CT scans and mammograms was highly correlated. Mammography performed within 8 months of CT is unlikely to reveal cancer unless there is a suspicious clinical finding or a breast mass eccentric to the nipple. Men with clinical symptoms of gynecomastia do not need additional imaging with mammography to confirm the diagnosis if they have undergone recent cross-sectional imaging.
- Subjects :
- Adult
Male
medicine.medical_specialty
Breast imaging
Concordance
Chest ct
Malignancy
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
medicine
Retrospective analysis
Mammography
Humans
Radiology, Nuclear Medicine and imaging
skin and connective tissue diseases
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
General Medicine
Ductal carcinoma
Middle Aged
medicine.disease
Gynecomastia
030220 oncology & carcinogenesis
Radiology
business
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 15463141
- Volume :
- 207
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- AJR. American journal of roentgenology
- Accession number :
- edsair.doi.dedup.....4b9251e9c2c6714fab74b770eb2a8180