Aim:Present study was done with an aim to analyse the clinicopathological and survival characteristics of male breast cancer patients.Methods:We did a retrospective review of our database and analysed total 27 patients who presented to breast oncology unit of Rajiv Gandhi cancer centre and research institute from January 2010 to April 2016.Results:Most common stage at presentation in our study was in stage II. The median follow up was 32.75 months. The actuarial 5-year survival was 92.30% and DFS was 76.30%. Only hormone receptor status was found as a significant prognostic variable among the prognostic factors studied for disease free survival.Conclusions:Carcinoma breast in male is a relatively rare disease and management principles are translated from our understanding of breast cancer in women. A relatively early stage at presentation is a contrasting finding of our series which may be responsible for a significantly better actuarial 5 year survival rates.

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Addition of adjuvant therapy based on depth of invasion does not influence survival in patients with early carcinoma of the tongue.

Breast cancer is the second most common cancer in the world and it is the leading cancer affecting Indian women. With growing numbers and increasing cosmetic concerns, more and more women are opting for breast conservation surgeries (BCS). However, in patients in whom breast conservation is not possible, skin-sparing (SSM) or nipple-sparing mastectomy (NSM) with reconstruction is the option.Endoscopic approaches came into vogue to combat the cosmetic concerns associated with open NSM but they failed to gain popularity owing to technical difficulties associated. Robotics was introduced as an alternative to endoscopic approach to overcome these limitations. An initial study by Toesca et al 1 showed the feasibility of this approach and this is our first experience of the innovative procedure.A 30-year-old lady with a lump in upper outer quadrant was evaluated and was found to have BIRADS IV lesion with diffuse microcalcification on imaging with no axillary lymphadenopathy.Fine-needle aspiration from the lesion was suggestive of invasive ductal carcinoma, and rest of the routine work up was unremarkable.As the disease was not feasible for BCS and the patient was keen on breast reconstruction, patient was given the option of robotic NSM with reconstruction using an implant. The procedure was done as described by Antonio Toesca in his original series and our experience of witnessing his live surgery. About 3 cm long incision was taken in the midaxillary line ( Figure 1). The incision was deepened, and planes were created using cautery for the insertion of octoport.The flaps were raised to a distance of about 3 cm, octoport was introduced, and insufflation started to a pressure of around 8 mm Hg (Figure 2). DaVinci Si robot was docked from the opposite side, and 12 mm (0 degree) camera was used. The dissection was carried out using a 5 mm spatula on the right arm and bipolar forceps on the left arm. Initial dissection was done in the superficial skin flap, and nipple shave was sent for frozen analysis which was reported negative. The assistant surgeon was at the operating table managing the skin flap thickness and providing necessary input to the surgeon at the console. After the dissection of superficial flap, breast tissue was dissected off the pectoralis major muscle and the specimen was delivered through the above-said incision. The mono port was repositioned, and submuscular plane was created for implant placement.Axillary dissection was carried out through the same incision. After manually placing the implant, subcutaneous and submuscular drains were kept and the incision was closed. Duration of surgery was 5 hours and 30 min, and no skin necrosis was noted. However, there was minimum erythema of skin in lower inner quadrant which settled on its own. The patient was discharged on second postoperative day and had a routine recovery with no morbidity (Figure 3).With the established popularity of robotics in intra-abdominal malignancies, there is a growing trend for usage of robotics in other areas such as oropharyng...