Abstract
Male breast cancer is an extremely rare malignancy. We treated three male breast cancer patients. All three patients showed clinical N0 and received sentinel lymph node biopsy. Because the sentinel lymph node was positive for metastasis in one patient, a total mastectomy with axillary lymph node dissection was performed. The other two patients were negative for sentinel lymph node metastasis, and a simple mastectomy was performed. Two of the patients were postoperatively treated with tamoxifen; another patient was treated with adjuvant chemotherapy using taxotere and cyclophosphamide before tamoxifen. There was no recurrence in any of the three patients during an average follow-up period of 56.7 months (range 11.8–80.3). A sentinel lymph node biopsy is recommended for node staging in both male and female breast cancer patients as it is associated with a lower incidence of complications.
Highlights
Male breast cancer (MBC) is an extremely rare malignancy which accounts for 1 % of all breast cancers and 0.1 % of all male cancers [1]
In contrast to female breast cancer (FBC) patients who are more often treated with breastconserving surgery, most MBC patients are treated with simple mastectomy with axillary lymph node dissection (ALND) or sentinel lymph node biopsy (SLNB) [4,5,6]
The management of patients with MBC generally depends on the information from the diagnosis process and the treatments that are applied to patients with FBC
Summary
Male breast cancer (MBC) is an extremely rare malignancy which accounts for 1 % of all breast cancers and 0.1 % of all male cancers [1]. No metastasis was found in the intraoperative examination of frozen sections of four SLNs. After the SLNB, a total mastectomy of the right breast was performed. A CT scan showed a round tumor of 16 mm in diameter under the nipple without axillary lymph node swelling or distant metastasis (Fig. 2b). No metastasis was found in the intraoperative examination of frozen sections of the two SLNs. After the SLNB, a total mastectomy of the left breast was performed. A CT scan showed a tumor of 24 mm in diameter under the nipple without axillary lymph node swelling or distant metastasis (Fig. 3b). He was referred to our hospital for surgery.
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