TWO CASES OF ADVANCED MALE BREAST CANCER

Abstract

Male breast cancer is rare and its incidence is reported approximately 1% of all breast cancers. In this paper two cases of advanced male breast cancer are described. Case l was a 65-year-old male having suffered from a left breast mass, measuring 7×7×3.5cm in size, for three years. he ws diagnosed as to have a left breast cancer and standard radical mastectomy was performed. Postoperative diagnosis was invasive ductal carcinoma, papillotubular type, T4bN1M0, in Stage IIIb. Estrogen receptors (ER) were positive and progesterone receptors (PgR) negative. Case 2 was a 73-year-old male complaining of a right breast mass (4×4cm). Standard radical mastectomy was perfomed with a diagnosis of right breast cancer. Postoperative diagnosis was invasive ductal carcinoma, scirrhous type, T4bN1M0, in stage IIIb. ERs were negative and PgR4 positive. Both patients received postoperative chemotherapy (CAF) and hormone therapy (Tamoxifen) and have been disease-free for 3 years and 9 months and for 2 years, respectively. Because of unfamiliarness of the disease and of thinner chest walls than females, male breast cancer tend to be found in advanced stages. Further enlightenment of the disease to males will have to be done for a earlier diagnosis and better prognosis.