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Male breast cancer: a report of 127 cases at a Moroccan institution.

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BMC Res Notes. 2011 Jun 29;4:219. doi: 10.1186/1756-0500-4-219.

Bourhafour M(1), Belbaraka R, Souadka A, M’rabti H, Tijami F, Errihani H.

(1)Department of Medical Oncology, National Institute of Oncology, Rabat-10000, Morocco.

BACKGROUND: Male breast cancer (MBC) is a rare disease representing less than 1%  of all malignancies in men and only 1% of all incident breast cancers. Our study  details clinico-pathological features, treatments and prognostic factors in a large Moroccan cohort.

FINDINGS: One hundred and twenty-seven patients were collected from 1985 to 2007  at the National Institute of Oncology in Rabat, Morocco.Median age was 62 years and median time for consultation 28 months. The main clinical complaint was a mass beneath the areola in 93, 5% of the cases. Most patients have an advanced disease. Ninety-one percent of tumors were ductal carcinomas.Management consisted especially of radical mastectomy; followed by adjuvant radiotherapy and hormonal  therapy with or without chemotherapy. The median of follow-up was 30 months. The  evolution has been characterized by local recurrence; in twenty two cases (17% of all patients). Metastasis occurred in 41 cases (32% of all patients). The site of metastasis was the bone in twenty cases; lung in twelve cases; liver in seven case; liver and skin in one case and pleura and skin in one case.

CONCLUSION: Male breast cancer has many similarities to breast cancer in women, but there are distinct features that should be appreciated. Future research for better understanding of this disease at national or international level are needed to improve the management and prognosis of male patients.

DOI: 10.1186/1756-0500-4-219

PMCID: PMC3143075

PMID: 21714875

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