Surgical options for male breast cancer

Fentiman, Ian S.

doi:10.1007/s10549-018-4952-2

Cited by 47 publications

(46 citation statements)

References 57 publications

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“…As a result, mastectomy and axillary dissection are generally preferred for surgical approach in 24 MBC, as in our study. We did not have a primary breast cancer patient who underwent breast conserving surgery.…”

Section: Discussionsupporting

confidence: 53%

A New Imaging Workup of The Male Breast: Single-View Mammography and Ultrasonography

et al. 2021

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Background: There is no generally accepted standard radiological approach to male breast diseases. Ultrasonography and mammography are the most preferred methods for imaging. The purpose of this study is to investigate the diagnostic performances of only single-view (mediolateral oblique) mammography and routine two-view mammography in the male breast diseases and also to evaluate the contribution of ultrasonography to the diagnosis and the management of the disease.Methods: Three hundred-twenty male patients’ breast imaging findings were evaluated retrospectively. Only mediolateral oblique and routine two-view mammograms were re-evaluated four months apart by two breast radiologists. The kappa value was calculated to measure consistency between two groups. The sensitivity, specificity, positive and negative predictive value, and detection accuracy of malignancy were calculated for both mammographic examinations and ultrasonography.Results: The accuracy of detection of malignant breast masses according to mediolateral oblique and two-view mammograms, and ultrasonography were 96.3 %, 97.5 %, and 99.5 %, respectively. Consistency between single-view and two-view mammograms was excellent (? = 0.967) and statistically significant (p=0.000). Two-view mammograms did not make any contribution to single-view mammograms.Conclusion: Only mediolateral oblique mammogram is sufficient in terms of characterization, spread and localization of the lesion, as long as mastectomy is preferred and the findings are supported by ultrasonography. Since there is no diagnostic performance difference, only mediolateral oblique view would protect from the potential adverse effects of extra radiation exposure and this is an important advantage.

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Section: Discussionsupporting

confidence: 53%

A New Imaging Workup of The Male Breast: Single-View Mammography and Ultrasonography

et al. 2021

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“…Unsurprisingly, there is generally restricted information concerning the psychological outcomes of male BC treatment [ 51 ]. Brain et al conducted a cross-sectional survey on 161 male BC cases, where only 1% of depression and 6% of the anxiety were clinically treatable, which is considerably lower than that reported in female BC [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

Impact of Mastectomy on Body Image and Sexuality from a LGBTQ Perspective: A Narrative Review

Skórzewska

Kurylcio

Rawicz‐Pruszyński

et al. 2021

JCM

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Although mastectomy could lead to a decrease in sexual performance among patients, only a handful of studies focused on the psychological and sexual behavioral aspects after the surgery. Research on post-mastectomy sexuality has focused mainly on female subjects but barely on lesbian, gay, bisexual, transgender, queer (LGBTQ), and male patients. This narrative review aimed to explore the importance of sexuality after mastectomy from a LGBTQ perspective. Each sexual minority group has been addressed individually. In general, sexual and gender minority breast cancer (BC) patients undergoing bilateral mastectomy expect a complex treatment plan in terms of physical and emotional outcomes. Bilateral mastectomy or top surgery for masculinization reasons was reported to be the most popular procedure among transmen, which resulted in a significant improvement in the quality of life. Heterosexual and lesbian female patients are willing to undergo mastectomy after repeated lumpectomies or to avoid radiation, despite potential post-operative somatic and quality-of-life complications. Transwomen would seek gender-affirming surgery to improve physical satisfaction and psychological well-being. There is not enough evidence for non-oncological reasons and consequences of mastectomy in gay men and cisgender heterosexual men. Establishing the awareness of the sexuality impact of mastectomy will allow the implementation of tailored perioperative psychological care.

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“…Earlier detection could result in down staging at diagnosis and subsequently decrease mortality, both of which are known to be elevated in male breast cancer. In addition, earlier detection may allow patients to decrease rates of locoregional disease, providing patients with the option of breast conserving therapy as opposed to mastectomy for the standard of surgical care [62,63]. Although mastectomy has been the mainstay for surgical treatment of male breast cancer, breast conservation is increasingly being considered as a therapeutic option [64][65][66].…”

Section: Potential Benefits Of Image-based Screening Of High Risk Menmentioning

confidence: 99%

Image-based screening for men at high risk for breast cancer: Benefits and drawbacks

et al. 2020

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Male breast cancer is a rare malignancy. Due to low prevalence and limited data to support male breast cancer screening, there are currently no recommendations for image-based screening in asymptomatic men and few recommendations for men at high risk for breast cancer. However, symptomatically diagnosed cancers in men are typically advanced, suggesting that earlier detection may improve outcomes. In this article we briefly review the risk factors for male breast cancer and discuss the potential benefits and possible drawbacks of routine image-based screening for men at high risk for breast cancer.

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Surgical options for male breast cancer

Cited by 47 publications

References 57 publications

A New Imaging Workup of The Male Breast: Single-View Mammography and Ultrasonography

A New Imaging Workup of The Male Breast: Single-View Mammography and Ultrasonography

Impact of Mastectomy on Body Image and Sexuality from a LGBTQ Perspective: A Narrative Review

Image-based screening for men at high risk for breast cancer: Benefits and drawbacks

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