Picture Quiz: A man with a lump in his breast
Elspeth Hill and colleagues consider a 65 year old man who presented to a breast clinic
A 65 year old man presented with a mass behind his right nipple. He first noticed the mass two years before, and it had been getting larger since. It was not painful so he did not seek medical help, and it was first detected during an unrelated hospital admission. He had no family history of breast cancer. At age 12 he had surgery for an undescended testicle. Examination showed a hard, irregular mass behind the right areola and palpable axillary lymph nodes.