Annual Clinical Congress. Chicago, IL, USA, 1997/10/12.
Breast cancer is an uncommon cause of breast enlargement in the adult male.
Overall, it accounts for<1 per cent of all male cancers.
Although most male breast carcinomas are clinically apparent, distinguishing early breast cancer from gynecomastia, the most common cause of male breast enlargement, is considered a difficult task.
To overcome this difficulty, many surgeons proceed directly to surgery as their initial diagnostic test.
Although appropriate in some cases, the infrequent occurrence of male breast cancer and the diagnostic accuracy of mammography and fine-needle aspiration cytology suggest a modification of our present management.
The aim of this study was to assess the incidence of breast cancer in men with unilateral breast masses and to propose a treatment algorithm for unilateral male breast masses.
The medical records of 36 male patients who underwent subcutaneous mastectomy for a unilateral breast mass at the Buffalo Veterans Administration Medical Center between 1989 and 1996 were retrospectively reviewed.
Data was collected on a standard data form.
The median age was 63-years-old (range, 22-82).
Gynecomastia was diagnosed in 30 patients (83%), lipoma in 4 patients (11%), invasive breast cancer in 1 patient (3%), and melanoma in situ in 1 patient (3%). (...)
Mots-clés Pascal : Glande mammaire, Masse, Unilatéral, Incidence, Facteur risque, Diagnostic, Carcinome, Stratégie, Evaluation, Mâle, Analyse algorithme, Homme, Glande mammaire pathologie, Tumeur maligne
Mots-clés Pascal anglais : Mammary gland, Mass, Unilateral, Incidence, Risk factor, Diagnosis, Carcinoma, Strategy, Evaluation, Male, Algorithm analysis, Human, Mammary gland diseases, Malignant tumor
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0172730
Code Inist : 002B20E02. Création : 16/11/1999.