ABSTRACT
BACKGROUND: Male breast cancer has a very low incidence (<1%). It has traditionally been considered to have a poorer prognosis than breast cancer in females due to delayed diagnosis as a cause of decreased survival. Our goal is to analyze our series and to identify factors influencing survival. METHODS: We conducted a retrospective study from 1997-2008 (n = 32). Inclusion criteria were male gender and histological confirmation of breast cancer. We analyzed epidemiological data (age and personal and family history), tumors (size, grade of differentiation, histological type, location, TNM stage, receptors), therapeutic regimen (surgical technique, adjuvant therapy) and survival (relapse, followup, death). RESULTS: Male breast cancer represents 0.9% of all breast cancers treated in our center. The average age of our patients was 66.84 years. Only 9.3% demonstrated gynecomastia as a presenting complaint. Histologically, 90% were infiltrating ductal type; 59.25% were diagnosed in early stages (I-II) compared to 40.74% in stages III-IV. Aggressive surgical techniques are still performed, compared to conservative techniques (74.19% vs. 19.36%). With a median follow-up of 52.82 months, the mortality rate was 16%. Existence of distant metastasis has been the only statistically significant factor in survival. CONCLUSIONS: The percentage of cases of male breast cancer is very low compared to breast cancer in females. Limited studies in the literature make gender-specific findings difficult. A low percentage of conservative surgical procedures are performed, even though this has increased considerably in recent years. The existence of distant metastasis was the main determinant of survival.
Subject(s)
Breast Neoplasms, Male/mortality , Adult , Aged , Aged, 80 and over , Breast Neoplasms, Male/surgery , Humans , Male , Middle Aged , Retrospective Studies , Survival RateSubject(s)
Cocaine-Related Disorders/complications , Cocaine/adverse effects , Colon/blood supply , Colonic Diseases/etiology , Intestinal Perforation/etiology , Ischemia/chemically induced , Vasoconstrictor Agents/adverse effects , Abdominal Pain/etiology , Adult , Colectomy , Colon/surgery , Colonic Diseases/surgery , HIV Infections/complications , Humans , Ileostomy , Intestinal Perforation/surgery , Ischemia/complications , Ischemia/surgery , Male , Pneumoperitoneum/etiology , Substance Abuse, Intravenous/complicationsABSTRACT
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Subject(s)
Humans , Male , Adult , Cocaine/adverse effects , Cocaine-Related Disorders/diagnosis , Intestinal Perforation/etiology , Abdominal Pain/etiologyABSTRACT
La rotura del uréter es una entidad clínica poco frecuente que puede ocasionar graves consecuencias. Su causa más habitual es la iatrogenia durante una intervención quirúrgica. Otras posibles causas son las maniobras urológicas o urográficas. En nuestra paciente, como caso único publicado hasta el momento, la rotura se ocasionó por un sondaje urinario traumático, al hinchar el balón de la sonda en el interior de un uréter. Los síntomas de la rotura uretral son los de un cólico nefrítico, aunque en ocasiones puede simular un abdomen agudo. Es importante valorar la posibilidad de lesión uretral en pacientes intervenidos de cirugía abdominopélvica o sometidos maniobras urológicas que presenten esta clínica. El tratamiento es quirúrgico, aunque en algunos casos podrían considerarse medidas conservadoras (AU)
Rupture of the ureter is an infrequent event that can have serious consequences. The most frequent cause is surgical iatrogenic ureter disease. Other possible causes are urological procedures and urographic studies. In our patient, which, to our knowledge, is the first to be reported in the literature, the ureteral rupture was produced by a traumatic urinary catheterism, because the balloon was filled inside the ureter. The normal presentation is nephritic colic, although acute abdomen is also a possibility. The possibility of ureteral rupture in abdominopelvic surgery or in urological techniques should be evaluated when patients present these clinical symptoms. Treatment is surgical, although in some cases conservative measures can be used (AU)
Subject(s)
Female , Aged , Humans , Iatrogenic Disease , Ureter/injuries , Urologic Surgical Procedures/adverse effects , Rupture/etiologyABSTRACT
Rupture of the ureter is an infrequent event that can have serious consequences. The most frequent cause is surgical iatrogenic ureter disease. Other possible causes are urological procedures and urographic studies. In our patient, which, to our knowledge, is the first to be reported in the literature, the ureteral rupture was produced by a traumatic urinary catheterism, because the balloon was filled inside the ureter. The normal presentation is nephritic colic, although acute abdomen is also a possibility. The possibility of ureteral rupture in abdominopelvic surgery or in urological techniques should be evaluated when patients present these clinical symptoms. Treatment is surgical, although in some cases conservative measures can be used.
Subject(s)
Ureter/injuries , Urinary Catheterization/adverse effects , Aged , Aged, 80 and over , Female , Humans , Iatrogenic Disease , RuptureABSTRACT
No disponible
