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Bilateral primary breast carcinoma in a man
W F van Tets1, L P Leenen, J A Roukema
1Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands.
The Netherlands Journal of Surgery
|December 1, 1990
Summary
This case study details a 56-year-old man with bilateral breast cancer, highlighting the rarity and treatment similarities between male and female patients. Early detection in men is crucial due to tumor infiltration.
Area of Science:
- Oncology
- Surgical Oncology
- Men's Health
Background:
- Bilateral breast cancer is rare in men, accounting for approximately 1% of all male breast cancer cases.
- This report focuses on a specific case of metachronous bilateral breast carcinoma in a 56-year-old male patient.
Observation:
- The patient presented with a second primary breast carcinoma in the contralateral breast 13 years after the initial diagnosis.
- Both instances involved modified radical mastectomy with clear axillary lymph nodes.
- Tumors in men are often discovered earlier due to smaller breast volume, leading to more pronounced infiltration.
Findings:
- The incidence of bilateral breast cancer in men is low, with approximately 14 out of 1,000 male breast cancer cases being bilateral.
- Therapeutic approaches for male breast cancer are consistent with those for female breast cancer.
Implications:
- This case underscores the importance of vigilance for bilateral disease in male breast cancer patients.
- Standard treatment protocols, including surgery and radiotherapy, remain effective for male breast cancer, even in bilateral cases.