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Men's Mammography Specialities
FRÁŇOVÁ, Jana
Every male patient coming for a breast examination has already experienced some problems with the breast. In most cases they relate to the enlargement of the mammary gland ? gynaecomastia, and less often a tumour. Breast carcinoma represents only a small part of tumours among the male population with an incidence of approximately 44 new patients per year, which is less than 1% (exactly 0.13%) of malign tumours. Mammography of male patients is usually performed in the basic standard projections ? mediolateral and craniocaudal. Generally it is possible to perform other projections (but this is very rare) ? lateral and caudocranial. The mediolateral ? transversal ? projection is usually satisfactory in male patients. Due to the anatomical structure of the male breast a hands-on examination is also very important in the diagnostics of the male mammary gland. Mammographic examination is not the first-choice method. Just ultrasound examination or just mammography is satisfactory in many cases. This situation is different in female patients where mammography is the first-choice method, followed by ultrasound and biopsy in the same medical workplace. In men, mammographic or ultrasound examination can be just auxiliary to determine staging. Every workplace may perform different routines and methods in male mammographic examination. However, all these examinations should be characterised by high quality and best possible diagnostic information, professional approach of the staff, and mainly the effort to improve long-established procedures.

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