Wednesday, July 18, 2007

Breast Cancer Male





Only one case of Breast Cancer occurs in men for every 100 in women. The average age it occurs is 60. Male Breast Cancer is usually more aggressive (worse) than female Breast Cancer. Hormonal effects are thought to be the cause.
Symptoms:
Breast lump
Nipple discharge
Enlarged breast tissue
Cause:
Probably hormonal
Liver damage may contribute since a damaged liver does not process hormones well, and there are higher levels of hormones in the blood. In some countries (Egypt, for example) where there is liver disease due to parasitic infections, the incidence of Breast Cancer in males is higher than in the United States.
There is a greater risk over the age of 65. It is rare under age 35.
Black men and men of European Jewish ancestry may have a higher risk than Caucasians.
How the diagnosis is made:

Examination
Hard breast mass beneath the nipple or areola (pigment area)
Enlarged lymph glands in the armpits, above collar bones, or in the center of the chest (mediastinal lymph nodes might be enlarged inside the chest, to the right and left of the midline)
Retracted/eroded nipple
Testing
Surgical biopsy
Bone scan to check for a spread to bones
Treatment:
Modified radical mastectomy -- removal of breast, muscles below the breast, and the lymph glands in armpit
Radiation treatment to areas of metastasis, such as lymph glands or bones
Castration in advanced disease
Tamoxifen
Aminoglutethimide
Corticosteroids
Estrogen therapy
If you suspect this conditions:
Seek immediate medical attention, as this is an aggressive cancer. The earlier it is treated, the better the prognosis.

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