Sano D, Dao B, Lankoandé J, Touré B, Sakandé B, Traoré S S, Wandaogo A, Dakouré R, Sanou A
Service de chirurgie générale et digestive, CHU de Ouagadougou, Burkina Faso.
Bull Cancer. 1997 Feb;84(2):175-7.
A retrospective study of male breast cancer was undertaken at Ouagadougou University Teaching Hospital over a 3 year period (1993-1996). Authors report 5 cases representing 4.16% of all breast cancers. The patients' mean age was 61 years. The average duration of signs and symptoms before the diagnosis was 13 months. Clinically all the 5 cases presented advanced cancers (4 T4N2M0, 1 T4N2M1 according to UICC TNM System) with size ranging from 5.5, to 11.5 cm. Histology found: 2 medullary infiltrating carcinoma, 1 canalar infiltrating carcinoma, 1 colloid mucous carcinoma and 1 lobular infiltrating carcinoma. All patients had mastectomy associated with axillary clearance in 4 cases. Radiotherapy, chemotherapy and hormonotherapy were not associated because unavailable in Burkina Faso. Three patients died: the first, 10 days after surgical treatment and the 2 others respectively after 14 and 17 months. We have lost sight 1 patients. The last one is still alive. Authors find that to get better prognosis, it is important to improve medical and technical means, to increase information and to promote early detection.
在瓦加杜古大学教学医院对男性乳腺癌进行了一项为期3年(1993 - 1996年)的回顾性研究。作者报告了5例病例,占所有乳腺癌病例的4.16%。患者的平均年龄为61岁。诊断前症状和体征的平均持续时间为13个月。根据国际抗癌联盟(UICC)TNM系统,临床上所有5例均表现为晚期癌症(4例为T4N2M0,1例为T4N2M1),肿瘤大小从5.5厘米到11.5厘米不等。组织学检查发现:2例为髓样浸润性癌,1例为导管浸润性癌,1例为胶样黏液癌,1例为小叶浸润性癌。所有患者均接受了乳房切除术,其中4例同时进行了腋窝清扫。由于布基纳法索无法提供放疗、化疗和激素治疗,所以未进行相关治疗。3例患者死亡:第1例在手术治疗后10天死亡,另外2例分别在14个月和17个月后死亡。有1例患者失访。最后1例患者仍然存活。作者发现,为了获得更好的预后,改善医疗和技术手段、增加信息并促进早期检测非常重要。