Male breast cancer: 22 case reports at the National Hospital of Niamey- Niger (West
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
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 (19922008) with histological confirmation.
Results: The series included 22 patients. The mean age was 52.8 years
(range: 2880 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.
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
|Remember we are NOT Doctors and have NO medical training.|
This site is like an Encyclopedia - there are many pages, many links on many topics.
Support our work with any size DONATION - see left side of any page - for how to donate. You can help raise awareness of CAM.