Radiological Features and Clinical Presentation of Male Breast Cancer: A Retrospective Review

Objectives: This study aims to evaluate the radiological features and clinical presentation of male breast cancer (MBC), focusing on imaging findings, histopathological correlations, and the challenges of diagnosis. Methods: We conducted a retrospective analysis of male patients diagnosed with MBC between August 2020 and June 2024 at tertiary care cancer centre. All patients presented with palpable breast masses and underwent a radiological workup, including mammography, ultrasonography, and computed tomography (CT). Imaging features such as size, shape, margins, and echogenicity of the masses were reviewed, and histopathological diagnosis was obtained through biopsy or surgical resection. Results: Sixteen male patients with palpable breast masses were included. Mammographic findings revealed irregular masses with spiculated margins, while ultrasound showed hypoechoic, solid masses with irregular contours. Histopathological examination confirmed invasive ductal carcinoma (IDC) in all cases. Conclusions: MBC typically presents as a palpable retro-areolar mass, and its diagnosis is often delayed, resulting in later-stage presentations. Invasive ductal carcinoma is the predominant histological type. Early detection, through improved awareness and targeted screening, is essential for improving clinical outcomes.