An Update on the General Features of Breast Cancer in Male Patients—A Literature Review

Male breast cancers are uncommon, as men account for less than 1 percent of all breast carcinomas. Among the predisposing risk factors for male breast cancer, the following appear to be significant: (a) breast/chest radiation exposure, (b) estrogen use, diseases associated with hyper-estrogenism, su...

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Main Authors: Sinziana Ionescu, Alin Codrut Nicolescu, Marian Marincas, Octavia-Luciana Madge, Laurentiu Simion
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/7/1554
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author Sinziana Ionescu
Alin Codrut Nicolescu
Marian Marincas
Octavia-Luciana Madge
Laurentiu Simion
author_facet Sinziana Ionescu
Alin Codrut Nicolescu
Marian Marincas
Octavia-Luciana Madge
Laurentiu Simion
author_sort Sinziana Ionescu
collection DOAJ
description Male breast cancers are uncommon, as men account for less than 1 percent of all breast carcinomas. Among the predisposing risk factors for male breast cancer, the following appear to be significant: (a) breast/chest radiation exposure, (b) estrogen use, diseases associated with hyper-estrogenism, such as cirrhosis or Klinefelter syndrome, and (c) family health history. Furthermore, there are clear familial tendencies, with a higher incidence among men who have a large number of female relatives with breast cancer and (d) major inheritance susceptibility. Moreover, in families with BRCA mutations, there is an increased risk of male breast cancer, although the risk appears to be greater with inherited BRCA2 mutations than with inherited BRCA1 mutations. Due to diagnostic delays, male breast cancer is more likely to present at an advanced stage. A core biopsy or a fine needle aspiration must be performed to confirm suspicious findings. Infiltrating ductal cancer is the most prevalent form of male breast cancer, while invasive lobular carcinoma is extremely uncommon. Male breast cancer is almost always positive for hormone receptors. A worse prognosis is associated with a more advanced stage at diagnosis for men with breast cancer. Randomized controlled trials which recruit both female and male patients should be developed in order to gain more consistent data on the optimal clinical approach.
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spelling doaj.art-0d0a7939e9ef451980a66cc7baa473912023-11-30T23:02:42ZengMDPI AGDiagnostics2075-44182022-06-01127155410.3390/diagnostics12071554An Update on the General Features of Breast Cancer in Male Patients—A Literature ReviewSinziana Ionescu0Alin Codrut Nicolescu1Marian Marincas2Octavia-Luciana Madge3Laurentiu Simion41st Clinic of General Surgery and Surgical Oncology, Bucharest Oncology Institute, 022328 Bucharest, RomaniaRoma Medical Center for Diagnosis and Treatment, 011774 Bucharest, Romania1st Clinic of General Surgery and Surgical Oncology, Bucharest Oncology Institute, 022328 Bucharest, Romania1st Clinic of General Surgery and Surgical Oncology, Bucharest Oncology Institute, 022328 Bucharest, Romania1st Clinic of General Surgery and Surgical Oncology, Bucharest Oncology Institute, 022328 Bucharest, RomaniaMale breast cancers are uncommon, as men account for less than 1 percent of all breast carcinomas. Among the predisposing risk factors for male breast cancer, the following appear to be significant: (a) breast/chest radiation exposure, (b) estrogen use, diseases associated with hyper-estrogenism, such as cirrhosis or Klinefelter syndrome, and (c) family health history. Furthermore, there are clear familial tendencies, with a higher incidence among men who have a large number of female relatives with breast cancer and (d) major inheritance susceptibility. Moreover, in families with BRCA mutations, there is an increased risk of male breast cancer, although the risk appears to be greater with inherited BRCA2 mutations than with inherited BRCA1 mutations. Due to diagnostic delays, male breast cancer is more likely to present at an advanced stage. A core biopsy or a fine needle aspiration must be performed to confirm suspicious findings. Infiltrating ductal cancer is the most prevalent form of male breast cancer, while invasive lobular carcinoma is extremely uncommon. Male breast cancer is almost always positive for hormone receptors. A worse prognosis is associated with a more advanced stage at diagnosis for men with breast cancer. Randomized controlled trials which recruit both female and male patients should be developed in order to gain more consistent data on the optimal clinical approach.https://www.mdpi.com/2075-4418/12/7/1554malebreastcancerdiagnosistreatmentprognosis
spellingShingle Sinziana Ionescu
Alin Codrut Nicolescu
Marian Marincas
Octavia-Luciana Madge
Laurentiu Simion
An Update on the General Features of Breast Cancer in Male Patients—A Literature Review
Diagnostics
male
breast
cancer
diagnosis
treatment
prognosis
title An Update on the General Features of Breast Cancer in Male Patients—A Literature Review
title_full An Update on the General Features of Breast Cancer in Male Patients—A Literature Review
title_fullStr An Update on the General Features of Breast Cancer in Male Patients—A Literature Review
title_full_unstemmed An Update on the General Features of Breast Cancer in Male Patients—A Literature Review
title_short An Update on the General Features of Breast Cancer in Male Patients—A Literature Review
title_sort update on the general features of breast cancer in male patients a literature review
topic male
breast
cancer
diagnosis
treatment
prognosis
url https://www.mdpi.com/2075-4418/12/7/1554
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