Echo-Mammographic and Anatomo-Pathological Aspects of Male Breast Cancer in Togo

Abstract

Studies of male breast cancer are rare in Africa. In Togo in particular, no work has focused on the epidemiological, mammo-echographic, pathological, therapeutic or prognostic aspects of male breast cancer. The aim of this study is to report cases of male breast cancer in Togo by describing the main epidemiological, mammo-echographic and pathological aspects. This was a retrospective, descriptive and analytical study of 10 cases of male patients presenting with breast cancer confirmed by the pathologic examination on the echoguided samples over a period of 6 years in University Teaching Hospital in Lomé. A total of ten patients were retained. The mean age of patients was 55 years with extremes of 39 years and 65 years. All patients had a palpable breast mass. The lesions were classified in 60% American College of Radiology (ACR) 5 and 40% ACR 4. The axillary lymph node invasion rate was 40%. Infiltrating ductal carcinoma was the histologic type diagnosed in all patients. Any breast mass in an elderly male subject is suspected with high predictive value. Mammography ultrasound plays an important role in the diagnosis alongside pathology.

Male Breast Nodules in Ouagadougou (Burkina Faso): Radiological and Histopathological Aspects

“…Malignant tumors were exclusively represented by infiltrating ductal carcinomas according to several authors [6] [15]. The average age of onset was similar to other authors [16] [17] [18].…”

“…Western authors found an average age of 63 -69 years [11] [12]. In sub-Saharan Africa, N'Timon et al [6] reported found an average age of 55 and Kidmas et al [5] in Nigeria, an average age of 57.9 years.…”

“…N'Timon and al [6] in Togo showed that malignant lesions occurred among men around 55 years of age. In Nigeria, Kidmas AT et al [5] showed a prevalence of 8% of breast cancers among men in their sample, with a mean age of onset of 57.9 years.…”

“…In Western Africa, some studies have described the epidemiological and clinical aspects of malignant breast lesions among humans [5]. In Togo, N'Timon and al [6] have described the imaging aspects of these malignant lesions.…”

Male Breast Cancer in Togo: Imaging and Clinicopathological Findings

“…Some studies have even found that ultrasound and clinical examination may be enough to decide what to do with a breast lesion in the male subject [ 18 ]. In Africa, there are a few studies on the radiopathological correlation of lesions suspected of breast cancer in men, such as that of N'timon et al [ 19 ] in Togo and Ouedraogo et al [ 20 ] in Burkina Faso. N'timon et al in their study only considered the correlation of ACR4 and 5 lesions in imaging and the histological results of ultrasound-guided microbiopsies.…”