Donegan W L
Department of Surgery, Sinai Samaritan Medical Center, 945 N 12th St, Milwaukee, WI 53201.
J Gend Specif Med. 2000 May-Jun;3(4):55-8.
Cancer of the breast in men is an infrequent but serious problem. The epidemiology and clinical features of the disease generally parallel those of breast cancer in women, but affected men tend to be older, have subareolar tumors, and present in more advanced stages. Treatment of men follows the trends for treatment of women, with less radical surgery and more frequent use of systemic adjuvant therapy. Stage and axillary nodal status are the most important prognostic indicators for men. Although overall survival rates of males remain inferior to those of women, the indications are that breast cancer in men is equally curable in comparable stages. Men need to be sensitive to the signs of breast cancer and seek early consultation.
男性乳腺癌是一个罕见但严重的问题。该疾病的流行病学和临床特征通常与女性乳腺癌相似,但患病男性往往年龄较大,肿瘤位于乳晕下,且就诊时病情多处于更晚期。男性乳腺癌的治疗遵循女性乳腺癌的治疗趋势,手术方式不那么激进,全身辅助治疗的使用更为频繁。分期和腋窝淋巴结状态是男性最重要的预后指标。尽管男性的总体生存率仍低于女性,但有迹象表明,在相同分期下,男性乳腺癌同样可治愈。男性需要对乳腺癌的症状保持敏感并尽早咨询。