Breast cancer in men

Breast cancer in males is a relatively rare entity. In the sub-region, several reports indicate a higher incidence rate compared to other regions in the world. For many years, management strategies were derived from evidence based protocols established for managing female breast cancer. There are however,differences in the epidemiology, presentation, molecular profiles and response to therapies including chemotherapy, hormonal and targeted therapies. Outcomes even though mirroring female breast cancer may actually exhibit differences dependent onstage, race, prognostic and economic variables. The lack of large randomized trials on this subject has resulted in ad hoc management practices across the globe. With new information from renewed interest in the subject, screening and diagnostic guidelines are being established for high-risk groups and we expect to see improvement in outcomes for patients with male breast cancer. This article attempts to bring to light a summary of the current interest, recommendations and controversies in the management of male breast cancer

Breast tumours of adolescents in an African population

Background: Tumours of the breast are uncommon in childhood and adolescence. Patients in this age group often require a different approach to diagnosis and treatment. The purpose of this study is to highlight the clinicopathologic features of breast tumours in adolescents in a Nigerian city. Materials and Methods: Eighty-four breast tumour materials from patients aged 10-19 years were analyzed over a 10-year period at the Department of Pathology; University of Benin Teaching Hospital (UBTH); Benin City; Edo State; Benin City; Nigeria. Results: A majority of the breast tumours were benign. Fibroadenoma was the most common tumour with 46 cases (54.8); followed by fibrocystic changes with 15 cases (17). Malignancy was extremely rare in this group; with only one case (1.2) of an invasive ductal carcinoma. Histologically; most tumours were indistinguishable from the adult types. Conclusion: Fibroadenoma is the most common breast tumour in adolescents in Benin City; Nigeria. Breast cancer and male breast tumours are rare in this age group. Routine complete physical examination of children and adolescents should include breast examination

Les cancers du sein chez l'homme a Pointe-Noire

Le cancer du sein est rare chez l'homme. En 30 mois d'activites (1er avril 2006-30 septembre 2008); nous avons recu 4 hommes atteints de cancer du sein. L'age moyen des patients a ete de 53;2 ans (extremes : 37 et 75 ans). La presence d'un nodule ou d'une ulceration mammaire ont ete les motifs de consultations. Le stade avance d'extension auxquels se sont presentes les malades a ete traduite par des nodules permeation; des metastases pulmonaires et osseuses. Les therapeutiques ont comporte la chimiotherapie pour tous. Un patient a en plus beneficie de la chirurgie et la radiotherapie. Apres 30 mois; deux malades sont vivants et les deux autres sont perdus de vue