It's Not Just Women - A Case Report of Sporadic Invasive Ductal Carcinoma in a Male

Abstract

Male breast carcinoma is a type of cancer that affects the breast tissue in men. It is an unusual condition, accounting for an incidence of 1 in 1000,000 male population. The mean age of discovery of male breast carcinoma is approximately 67 years and that of invasive ductal carcinoma is  approximately 70 years. Multiple risk factors for male breast cancer including family history of carcinoma of breast, exposure to high levels of estrogen, and certain genetic mutations such as BRCA2 have been associated, but sporadic male breast cancers are much more rare. Treatment options for male breast cancer may include surgery, radiation therapy, and chemotherapy. Early detection and prompt treatment are important for improving outcomes for men with this condition. In this case report, we present a 52 year old male who presented to us 2 years ago complaining of a fungating growth in the left nipple for a year with no family history. Biopsy proved invasive ductal carcinoma and he underwent modified radical mastectomy, and is currently on endocrine therapy. This case report emphasizes the fact that due to the rarity of the condition, it can sometimes be missed. Any lump in the male breast has to be carefully investigated and treated thoroughly to avoid further complications. This case report also proved that men too undergo radical surgeries for breast alongside women for certain conditions.