MALE BREAST-CANCER - ANALYSIS OF 50 CASES

Breast cancer, rarely encountered in men, accounts for 0.2 to 1.5 % of the cancer morbidity in men and 1 to 5.7 % of all breast cancers. The aim of this work is to analyse the different epidemiological, therape utic and outcome features of this disease in men using a retrospective multicentric approach to 50 cases reported in Casablanca from 1980 to 1992. The mean age of the patients was 60.6 years. No significant ris k factor was found. The mean delay to consultation was 22.5 months. Di agnosis was made at an advanced stage as, the tumour was located behin d the nipple in 98 % of the cases and ulcerated in 52 %. Laterality wa s almost identical. Invasive galactophoric adenocarcinoma was found in 86 % of the cases. Treatment was usually Patey mastectomy with positi ve nodes in 84 %. Complementary treatment included radiotherapy in 60 %, chemotherapy in 36 % and hormonotherapy in 1 case. Recurrence was o bserved in 71 % of the patients who has achieved complete remission. S urviceal in evaluable cases was 59 and 25 % at 2 and 5 years respectiv ely. The results in this series was less satisfactory that it is gener ally reported in the literature which suggests the need for better cod ification and management.