Double Trouble: A Synchronous Male Breast Intraductal Papillary Carcinoma with Prostatic Adenocarcinoma

K. C. Ghazali
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Abstract

Male breast carcinoma is indeed a rare in predominantly female dominated breast carcinoma. Intraductal papillary carcinoma is an architectural pattern of Ductal Carcinoma in Situ (DCIS) without invasion into the breast stroma. We present a case of 72-year-old male with underlying benign prostatic hyperplasia on 5-alpha reductase inhibitor medication, who had presented with unilateral breast swelling and nipple discharge. While working up for breast carcinoma, there was an incidental finding of prostatic mass from computed tomography. Further assessment from transrectal ultrasound guided (TRUS) biopsy of prostate revealed prostatic adenocarcinoma. Hence, this case highlights the possible etiopathogenic relation between breast and prostate carcinoma.
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双重困扰:男性导管内乳头状癌合并前列腺腺癌
男性乳腺癌在以女性为主的乳腺癌中确实很罕见。导管内乳头状癌是导管原位癌(DCIS)的一种结构模式,不侵犯乳腺间质。我们报告了一例72岁男性,在服用5-α还原酶抑制剂的治疗下,患有潜在的良性前列腺增生,其表现为单侧乳房肿胀和乳头溢液。在治疗乳腺癌的过程中,计算机断层扫描偶然发现前列腺肿块。经直肠超声引导(TRUS)前列腺活检的进一步评估显示前列腺腺癌。因此,这个病例强调了乳腺癌和前列腺癌之间可能的发病关系。
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