Male Breast Cancer - West Africa

Male breast cancer: 22 case reports at the National Hospital of Niamey- Niger (West Africa)

Sani Rachid1&, Harouna Yacouba1, Nouhou Hassane2 1Department of Surgery, National Hospital of Niamey. PB: 238 – Niamey – Niger –Tel: 00 227 20 72 22 53, 2Department of histopathology-Faculty of Medicine. PB: 10896 – Niamey, Niger &

Corresponding author: Dr Sani Rachid Depar tment of Surgery, National Hospital of Niamey PB: 11806 – Niamey – Niger, Tel: 00 227 96962484.

Received: 14/08/2009 - Accepted: 20/10/2009 - Published: 16/11/2009. Pan African Medical Journal, 2009 3:15

Abstract

Background: Male breast cancer (MBC) is rare. The objective of the study is to report clinicopathological characteristics, treatment patterns, and outcomes of MBC. Method: This study, which includes two parts (retrospective and prospective), focused on all hospitalized male patients with breast cancer during 17 years (1992–2008) with histological confirmation.

Results: The series included 22 patients. The mean age was 52.8 years (range: 28–80 years). MBC represented 5.7% of all breast cancers. Most patients had an advanced disease with skin ulceration and inflammation T3 (31.9%) and T4 (59.1%). The majority of patients came from rural areas (63.6%). The duration of signs ranged from 1 to 7 years.

Histology found infiltrating ductal carcinoma in 14 cases (63.6%), sarcoma in 3 cases (13.6%), papillary carcinoma in 2 cases (9%), and lobular carcinoma, medullar carcinoma, and mucinous carcinoma in 4.6% each of the others cases.

The treatment had consisted of a radical mastectomy (Halsted or Patey) in 19 cases (86.4%) with axillary clearance and incomplete resection in 3 cases (13.6%). In the retrospective study follow-up of 14 patients, we lost sight of 13 patients 6 months after surgery.

In the prospective study of 8 patients 10 to 36 months after mastectomy, 4 patients were deceased (50%), 4 were alive with 1 case having a local recurrence and pulmonary metastasis.

Conclusion: The advanced clinical forms of MBC are most frequent with skin ulceration and nodal enlargement. The absence of radiotherapy and the low access of chemotherapy limited the treatment to radical mastectomy (Halsted) in the majority of cases.

Pan Africa Medical Journal – ISSN: 1937- 8688 (www.panafrican-med-journal.com)

Published in partnership with the African Field Epidemiology Network (AFENET). (www.afenet.net)

This article is available online at: http://www.panafrican-med-journal.com/content/article/3/15/full © Sani Rachid et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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