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Revista Cubana de Cirugía
On-line version ISSN 1561-2945
Abstract
AGUILAR LUQUE, José; SARMIENTO ROBLES, Custodio; MERINO DE LA TORRE, Esther and MARTINEZ GARCIA, Pablo. Carcinoma de mama en el varón: Análisis de 5 casos y revisión bibliográfica. Rev Cubana Cir [online]. 2001, vol.40, n.1, pp. 66-72. ISSN 1561-2945.
Male breast carcinoma is very uncommon (0.1% of all the male cancers), which makes us have later diagnosis that darken the prognosis. A series of 7 breast carcinomas in 6 males with a mean age of 60 years (47-72 years old) and with a mean time between the first symptom and the operation of 14.3 months (5 to 30 months) is presented. The stages were as follows: I(1), II(3). III(1) and IV(1). The histopathological study showed 6 infiltrating ductal carcinomas: l multicenter and l intraductal (multicenter). 54 patients were treated with modified radical mastectomy (3 with Patey's operation and 2 with Madden's operation). The patient with bilateral carcinoma underwent Halsted's radical mastectomy in the left breast and simple tumorectomy plus axilary lymphadenectomy in the right. 5 patients received coadjuvant treatment: 2, chemotherapy; l, radiotherapy; 1, chemotherapy plus radiotherapy; and 1, hormone therapy. The sixth patient died 9 days after the operation due to end-stage disseminated disease and the other died from metastatic disease 3,5 years later. The other 4 survive free of disease at 7, 5.5, and 5 years. The diagnostic and therapeutic aspects are analyzed through a wide bibliographic review and it is concluded that it is a neoplasia with similar characteristics and prognosis in both sexes. However, results are poorer in males due to the delay in making the diagnosis compared with females
Keywords : BREAST NEOPLASM, MALE [diagnosis]; BREAST NEOPLASM, MALE [surgery].