Background:Gynecomastia and breast cancer are the two most common diseases of the male breast. Most other diseases found in male breast arise from the skin and subcutaneous tissues. Male breast cancer is relatively rare, in contrast to gynecomastia, which is relatively common.
Objectives: The aim of this report is to determine the prevalence of the different breast lesions among males; based upon the findings of fine needle aspiration cytology .
Patients and method:This study was carried out within the Main Referral Training Center for Early Detection of Breast Tumors, Medical City Teaching Hospital, Baghdad (from the
beginning of January 2003 till the end of November 2007). One hundred twenty four males presenting with different breast lesions were included; all were subjected to physical breast
examination, ultrasonography of the breast and fine-needle aspiration.
Results:Pathologically, 112 cases (90.3%) were diagnosed as benign lesions, including: 103 cases (83.1%) of gynecomastia, and 9 cases (7.2%) of other miscellaneous benign lesions: six
cases (4.8%) diagnosed as inflammatoty conditions [three cases of acute mastitis and three cases of suberolar abscess], two cases (1.6%) diagnosed as granlomatous mastitis, and one case (0.8%) as lipoma. On cytological examination, 14 cases (13.6%) of gynecomastia showed varying degree of cellular atypia. Breast cancer was diagnosed in twelve patients (9.7%); all
were infilterative ductal carcinoma. The mean age of patients with gynecomastia was 20.3 years, while it was 61.8 years in breast cancer patients. Sixty six cases (53.2%) of male breast
masses were located within the left breast, 47 cases (37.9%) were located within the right breast, while eleven cases (8.9%0) were bilateral (all were gynecomastia). The chief
complaints of patients with gynecomastia were as follows: painless mass in 38 cases (30.7%), painful mass in 45 cases (36.3%), pain without mass in 13 cases (10.5), while evidence of
bilateral swelling was observed in seven cases (5.6%). Ten patients (8.1%) with breast cancer presented with painless mass, while in only two (1.6%) the chief complaint was painful lump.
On ultrasonographic examination of patients with gynecomastia, 58 conditions (46.7%) presented with proliferation of fibroglandular tissue (no definite mass), 35 conditions (28.2%)
showed well defined discoid lesions, while in ten cases (8.1%) the findings revealed ill defined retroareolar masses. On the other hand, in patients diagnosed as having male breast carcinoma, the ultrasound findings showed ill defined eccentric masses in eight cases (6.5%) and multiple masses in four (3.2%). Most cases of gynecomastia were idiopathic since patients gave no history of hormonal therapy or exposure to other relevant risk factors.
Conclusions:Most palpable masses in the male breast are due to gynecomastia followed by breast carcinoma. Because both present clinically as palpable masses, fine-needle aspiration
cytology is extremely useful for the diagnosis.
Breast cancer (BC) is one of the most frequently observed malignancy in females worldwide. Today, tamoxifen (TAM) is considered as the highly effective therapy for treatment of breast tumors. Oxidative stress has implicated strongly in the pathophysiology of malignancies. This study aimed to investigate the changes in the levels of oxidants and antioxidants in patients with newly diagnosed and TAM-treated BC. Sixty newly diagnosed and 60 TAM-treated women with BC and 50 healthy volunteers were included in this study. Parameters including total oxidant capacity (TOC), total antioxidant capacity (TAC), and catalase (CAT) activity were determined before and after treatment with TAM. The serum levels of TOC and oxidative stress index (OSI) were
... Show MoreBreast cancer is the commonest cancer and the leading cause of malignancies-related mortality in women worldwide. Understanding the underlying biology of the disease could improve patients’ stratification and may offer novel therapeutic targets and strategies. This study was set to investigate the association between BRCA1 gene expression and some of the clinical features of breast cancer patients in Baghdad-Iraq. Eighty peripheral blood samples were collected from sixty patients diagnosed with breast cancer and twenty healthy age-matched controls for BRCA1 qPCR gene expression analysis.
The results showed a significant reduction in BRCA1 gene expression in all of the bre
... Show MoreBackground: Salivary tumors are uncommon, being of low incidence worldwide. This study aimed to assess cases collected in this series of salivary gland tumors in regard to histopathological typing, in relation to age, site and gender. Materials and methods: This is a retrospective study; cases were collected from public and private laboratories. A total number of 171 cases were collected. The slides were reviewed and reclassified for histopathological typing according to WHO classification 2005. Results: Benign tumors were more common than malignant tumors. The most common histological type was benign mixed tumor, followed by Warthin’s tumor. The most common malignant tumor was adenoid cystic carcinoma. One hundred twenty three cases ou
... Show MorePhenol condensed with β-keto esters via Pechmann condensation to form derivatives of Coumarin in various reaction conditions by two ways. Present paper is comparative study of synthesis Coumarin with the yield of product , reaction time and reaction conditions.
Background: dorsal spine intervertebral disc prolapse (IVDP) not a very common entity compared with cervical & lumbar region usually treated surgically.
Patients & method: 22 patients studied in the specialized surgical hospital neurosurgical department from Jan 2002 till Jan. 2006. the study included age, gender, cases. clinical features, diagnoses & surgical management.
Results: 22 patients were studied 76% of the patients are at the age of 30-60 with slight male predominance, all diagnosed by MRI & or CT scan, all managed surgically by laminectomy the results are compared with other studies.
Conclusion: posterior thoracic laminectomy at the dorsal region is a safe, simple procedure with good res
... Show MoreThe term Amyand’s hernia refers to an incarcerated inguinal hernia containing the vermiform appendix, which may be completely healthy, inflamed or perforated. (1) In almost 1% of all inguinal hernias Amyand’s hernia is detected and acute appendicitis in Amyand’s hernia cases accounts only for 0.1% “ 0.07-0.13”. (5)Amyand’s hernia is named after Claudius Amyand, who on December, 6,1735 performed the 1st successful appendectomy during the treatment of 11 years old boy presented with right inguinal hernia . During the surgery Amyand found a pin within the appendix which was encrusted with stone the appendix was found within the inguinal hernia sac. (2) It should not be confused with the incidental findings of cecal ap
... Show MoreIn this paper, the experiments were carried out in laboratory flotation cell treating solid fines. The effect of variables such as collector oil dosage, pine oil dosage and solid content of the feed slurry have been investigated on the flotation characteristics of low rank coal. Attempts have also been made to develop some empirical Eq. to predict the yield and ash content of concentrate with the operating variables, solids concentration, collector oil dosage, and pine oil dosage, to estimate the recovery at any operating conditions. The calculated results obtained from regression equation by correlating the variables with the yield and ash content of concentrate have been compared to study whether calculated values match closely with th
... Show MoreThe present study was conducted on 20 patients suffering from different types of lesion like
pyogenic granuloma, peripheral giant cell granuloma, mucoceles, pregnancy tumour, Fordyce's granules
and irritating fibroma.The cases were selected from outpatient clinic of the Al Kydhemya Teaching
Hospital. Patients were treated by diode laser (810±20 nm) at the affected areas of the oral cavity with
continuous contact focused mode until excision of the lesion with coagulation of the oozing area after
excision. Patients were followed up after 2 days, 7 days and 2 weeks to assess healing process and any
post operative complication. Some of undiagnosed lesion sent for histopathological examination. No
serious complications w
Non thermal argon plasma needle at atmospheric pressure was generated. The experimental set up is based on very simple and low cost electric components that generate electrical field sufficiently high at the electrodes to ionize various gases, which flow at atmospheric pressure. The high d.c power supply is 7.5kV peak to peak, the frequency of the electrical field is 28kHz, and the plasma power less than 15W. The plasma is generated using only one electrode. In the present work the voltage and current discharge waveform are measured. Also the temperature of the working Ar gas at different gas flow and distances from the plasma electrode tip was recorded