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만져지는 유방과 액와부 병변을 주소로 내원한 성인 남성의 초음파 소견: 임상화보

Sonographic Features of Palpable Breast and Axillary Lesions in Adult Male Patients: A Pictorial Essay

  • 정현경 (인제대학교 의과대학 해운대백병원 영상의학과) ;
  • 임윤정 (인제대학교 의과대학 해운대백병원 영상의학과)
  • Hyun Kyung Jung (Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Yun-Jung Lim (Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine)
  • 투고 : 2021.06.29
  • 심사 : 2021.10.15
  • 발행 : 2022.07.01

초록

남성 유방은 기능이 없는 잔유기관이지만, 여성 유방과 유사하게 다양한 질환이 발생할 수 있다. 하지만 여성 유방암과 달리 남성 유방암의 발병률이 낮아 남성 환자를 위한 확립된 검진방법은 없다. 따라서 남성 유방의 평가는 보통 만져지는 종물이나 통증과 같은 증상을 가진 환자에서 진단적 평가를 하게 된다. 더욱이 외래를 방문하는 성인 남성 환자들은 유방뿐 아니라 액와부의 증상을 호소하기도 하며, 일반적으로 유방 초음파 검사 시 유방뿐 아니라 액와까지 검사한다. 이에 본 임상화보는 유방 및 액와의 만져지는 종물을 주소로 내원한 성인 남성 환자에서 발생하였던 다양한 증례의 초음파 소견을 제시하고자 한다.

The male breast is a non-functional and rudimentary organ, but similarly to the female breast, it can be affected by various diseases. In contrast to female breast cancer, male breast cancer has a low incidence, and there is no established breast cancer screening program for male patients. Therefore, the diagnostic evaluation is usually performed in male patients with symptoms such as palpability or pain in the breasts. Furthermore, most adult male patients who visit breast clinics sometimes present with not only breast symptoms but also axillary symptoms, and both the breast and axilla are usually examined during breast ultrasonography in daily clinical practice. The purpose of this pictorial essay was to present the sonographic features of various palpable breast and axillary lesions in adult male patients.

키워드

참고문헌

  1. Chen L, Chantra PK, Larsen LH, Barton P, Rohitopakarn M, Zhu EQ, et al. Imaging characteristics of malignant lesions of the male breast. Radiographics 2006;26:993-1006
  2. Boring CC, Squires TS, Tong T, Montgomery S. Cancer statistics, 1994. CA Cancer J Clin 1994;44:7-26
  3. Munoz Carrasco R, Alvarez Benito M, Munoz Gomariz E, Raya Povedano JL, Martinez Paredes M. Mammography and ultrasound in the evaluation of male breast disease. Eur Radiol 2010;20:2797-2805
  4. Rong X, Zhu Q, Jia W, Ma T, Wang X, Guo N, et al. Ultrasonographic assessment of male breast diseases. Breast J 2018;24:599-605
  5. Lattin GE Jr, Jesinger RA, Mattu R, Glassman LM. From the radiologic pathology archives: diseases of the male breast: radiologic-pathologic correlation. Radiographics 2013;33:461-489
  6. Appelbaum AH, Evans GF, Levy KR, Amirkhan RH, Schumpert TD. Mammographic appearances of male breast disease. Radiographics 1999;19:559-568
  7. Draghi F, Tarantino CC, Madonia L, Ferrozzi G. Ultrasonography of the male breast. J Ultrasound 2011;14:122-129
  8. Johnson RE, Murad MH. Gynecomastia: pathophysiology, evaluation, and management. Mayo Clin Proc 2009;84:1010-1015
  9. Chesebro AL, Rives AF, Shaffer K. Male breast disease: what the radiologist needs to know. Curr Probl Diagn Radiol 2019;48:482-493
  10. Trop I, Dugas A, David J, El Khoury M, Boileau JF, Larouche N, et al. Breast abscesses: evidence-based algorithms for diagnosis, management, and follow-up. Radiographics 2011;31:1683-1699
  11. Tayyab SJ, Adrada BE, Rauch GM, Yang WT. A pictorial review: multimodality imaging of benign and suspicious features of fat necrosis in the breast. Br J Radiol 2018;91:20180213
  12. Gunhan-Bilgen I, Bozkaya H, Ustun E, Memi,s A. Male breast disease: clinical, mammographic, and ultrasonographic features. Eur J Radiol 2020;43:246-255
  13. Stewart RA, Howlett DC, Hearn FJ. Pictorial review: the imaging features of male breast disease. Clin Radiol 1997;52:739-744
  14. Yuan WH, Li AF, Chou YH, Hsu HC, Chen YY. Clinical and ultrasonographic features of male breast tumors: a retrospective analysis. PLoS One 2018;13:e0194651
  15. Burga AM, Fadare O, Lininger RA, Tavassoli FA. Invasive carcinomas of the male breast: a morphologic study of the distribution of histologic subtypes and metastatic patterns in 778 cases. Virchows Arch 2006;449:507-512
  16. Rosen PP. Rosen's breast pathology. 3rd ed. Philadelphia: Lippincott-Raven 1997:609-632
  17. Iuanow E, Kettler M, Slanetz PJ. Spectrum of disease in the male breast. AJR Am J Roentgenol 2011;196:W247-W259
  18. Hartel PH, Bratthauer G, Hartel JV, Fanburg-Smith JC. Primary malignant fibrous histiocytoma (myxofibrosarcoma/pleomorphic sarcoma not otherwise specified) of the breast: clinicopathologic study of 19 cases. Ann Diagn Pathol 2011;15:407-413
  19. van Niekerk JL, Wobbes T, Holland R, van Haelst UJ. Malignant fibrous histiocytoma of the breast with axillary lymph node involvement. J Surg Oncol 1987;34:32-35
  20. Yao MS, Chan WP, Chen CY, Chu JS, Hsieh MC. Malignant fibrous histiocytoma of the female breast: a case report. Clin Imaging 2005;29:134-137
  21. Park YM, Park JS, Yoon HK, Yang WT. Imaging-pathologic correlation of diseases in the axilla. AJR Am J Roentgenol 2013;200:W130-W142
  22. Esen G. Ultrasound of superficial lymph nodes. Eur J Radiol 2006;58:345-359
  23. Dialani V, James DF, Slanetz PJ. A practical approach to imaging the axilla. Insights Imaging 2015;6:217-229
  24. Lee KH, Ryu J. Real-time elastography of cervical lymph nodes in Kikuchi disease. J Ultrasound Med 2014;33:2201-2205
  25. Kovacs S, Friedman PD, Kuehn A. Unilateral axillary adenopathy caused by Kikuchi-Fujimoto disease. Breast J 2006;12:77-79
  26. Chang YW, Noh HJ, Hong SS, Hwang JH, Lee DW, Moon JH. Castleman's disease of the axilla mimicking metastasis. Clin Imaging 2007;31:425-427
  27. Greiner T, Armitage JO, Gross TG. Atypical lymphoproliferative diseases. Hematology Am Soc Hematol Educ Program 2000;1:133-146
  28. Weiss LM, O'Malley D. Benign lymphadenopathies. Mod Pathol 2013;26 Suppl 1:S88-S96
  29. Park JE, Sohn YM, Kim EK. Sonographic findings of axillary masses: what can be imaged in this space? J Ultrasound Med 2013;32:1261-1270
  30. An JK, Oh KK, Jung WH. Soft-tissue axillary masses (excluding metastases from breast cancer): sonographic appearances and correlative imaging. J Clin Ultrasound 2005;33:288-297
  31. Kim EY, Ko EY, Han BK, Shin JH, Hahn SY, Kang SS, et al. Sonography of axillary masses: what should be considered other than the lymph nodes? J Ultrasound Med 2009;28:923-939
  32. Azimi N, Azar A, Khan A, DeBenedectis CM. Benign breast cyst in a young male. Cureus 2019;11:e4814
  33. Berg WA, Campassi CI, Ioffe OB. Cystic lesions of the breast: sonographic-pathologic correlation. Radiology 2003;227:183-191
  34. D'Orsi CJ, Sickles EA, Mendelson EB, Morris EA. Breast Imaging Reporting and Data System. 5th ed. Reston: American Colloege of Radiology 2013
  35. Park SH, Jeong YM, Cho SH, Jung HK, Kim SJ, Ryu HS. Imaging findings of variable axillary mass and axillary lymphadenopathy. Ultrasound Med Biol 2014;40:1934-1948
  36. Bauer A, Jackson B, Marner E, Gilbertson-Dahdal D. Angiomatoid fibrous histiocytoma: a case report and review of the literature. J Radiol Case Rep 2012;6:8-15
  37. Kim K, Lee JS, Cho KJ. Angiomatoid fibrous histiocytoma: a case report. Korean J Pathol 2006;40:377-380
  38. Yan W, Wistuba II, Emmert-Buck MR, Erickson HS. Squamous cell carcinoma-similarities and differences among anatomical sites. Am J Cancer Res 2011;1:275-300