Intracystic papillary carcinoma in a male as a rare presentation of breast cancer: a case report and literature review.
BACKGROUND
The term "intracystic papillary ductal carcinoma in situ" has recently changed and is now more appropriately referred to "intracystic papillary carcinoma". Intracystic papillary carcinoma in men is an extremely rare disease with only a few case presentations published in the literature so far.


METHODS
We discuss a case of a 44-year-old Caucasian man with an intracystic papillary carcinoma treated with simple mastectomy, sentinel lymph-node biopsy and contralateral risk-reducing mastectomy. These were followed by adjuvant radiotherapy of the breast.


CONCLUSIONS
Triple assessment (i.e. clinical examination and radiological and histological assessment) with a high level of clinical suspicion is necessary to diagnose intracystic papillary carcinoma in men due to its rarity. Furthermore, genetic testing and risk-reducing mastectomy should also be considered in cases of a strong family history for male breast cancer.
Romics
Laszlo
L
Department of Surgery, Cork University Hospital, University College Cork, Wilton Road, Cork, Ireland. Laszlo.Romics@umassmed.edu.
O'Brien
M Emmet
ME
Relihan
Norma
N
O'Connell
Fionnuala
F
Redmond
H Paul
HP