Author(s)

Iriss A. Darar, Zakari Saye, Bourama Diarra, Madiassa Konaté, Amadou Traoré, Seydou Pamateck, Abdillahi I. Ismail, Arouna Adama Doumbia, Boubacar Karembé, Bakary Tientigui Dembélé, Lassana Kanté, Drissa Traoré, Zimogo Zié Sanogo, Alhassane Traoré, Adégné Togo^*

Department General Surgery CHU Gabriel Toure, Bamako, Mali.

Introduction: Male breast cancer is rare; representing 1% of breast cancers and less than 1% of all male neoplasia worldwide. We here analyzed the clinical, histological, therapeutic and prognostic characteristics of male breast cancer in Bamako, Mali. Patients and methods: A retrospective descriptive study was conducted on 14 male patients with breast cancer who visited two university hospitals in Bamako (Hospital Gabriel TOURE and Hospital du Point G) in Mali, from January 2005 to December 2018. Results: Male breast cancer represented 0.63% of all breast cancers and 0.23% of all male cancers. The following was observed: the mean age of 53 years (range: 23 - 82); a family history of cancer in 2; breast pain in 9; the average time to consultation of 8 years (6 - 24); gynecomastia found in 1; the tumor palpable in all 14 (size of 5 cm [3 - 10]); ulceration in 5. The most common histological type was non-specific infiltrating carcinoma with 92.8%. SBR II grade was found in 78.5% of cases. Of 8 patients with immunohistochemistry, hormone receptor positive was in 13 and Her2 positive was in 5. Metastases were found in 4, 2 pulmonary and 2 hepatic. Treatment: Neoadjuvant chemotherapy in 21.4%; radical surgery in 13 cases; surgery + radiotherapy in 2; surgery + hormonal therapy in 4. After an average follow-up of 36 months, 1 patient developed a lung metastasis and another patient had a lymph node recurrence. Conclusion: Male breast cancer was detected at relatively later stages. Physicians must be aware of this condition.

Breast Cancer, Diagnostic Aspect, Male, Mali, Therapeutic Aspect

Darar, I. , Saye, Z. , Diarra, B. , Konaté, M. , Traoré, A. , Pamateck, S. , Ismail, A. , Doumbia, A. , Karembé, B. , Dembélé, B. , Kanté, L. , Traoré, D. , Sanogo, Z. , Traoré, A. and Togo, A. (2022) Male Breast Cancer: Diagnostic and Prognostic Features in Mali. Journal of Cancer Therapy, 13, 71-79. doi: 10.4236/jct.2022.132005.