Ganja Vibes Blog

Male Breast Cancer

What is male breast cancer?

Men possess a small amount of nonfunctioning breast tissue (breast tissue that cannot produce milk) that is concentrated in the area directly behind the nipple on the chest wall. Like breast cancer in women, cancer of the male breast is the uncontrolled growth of the abnormal cells of this breast tissue. Breast tissue in both young boys and girls consists of tubular structures known as ducts. At puberty, a girl's ovaries produce female hormones (estrogen) that cause the ducts to grow and milk glands (lobules) to develop at the ends of the ducts. The amount of fat and connective tissue in the breast also increases as girls reach puberty. On the other hand, male hormones (such as testosterone) secreted by the testes suppress the growth of breast tissue and the development of lobules. The male breast, therefore, is made up of predominantly small, undeveloped ducts and a small amount of fat and connective tissue.  

How common is male breast cancer?

Male breast cancer is a rare condition, accounting for only about 1% of all breast cancers. The American Cancer Society estimates that in 2010, about 1,970 new cases of breast cancer in men would be diagnosed and that breast cancer would cause approximately 390 deaths in men (in comparison, almost 40,000 women die of breast cancer each year). Breast cancer is 100 times more common in women than in men. Most cases of male breast cancer are detected in men between the ages of 60 and 70, although the condition can develop in men of any age. A man's lifetime risk of developing breast cancer is about 1/10 of 1%, or one in 1,000.

15 Cancer Symptoms Men Ignore

What are male breast cancer symptoms and signs?

By Kathleen Doheny WebMD Feature Reviewed by Louise Chang, MD Some men are notorious foot-draggers, especially when it comes to scheduling doctor visits. That's unfortunate. Routine preventive care can find cancerin men and other diseases in the early stages, when there are more options for treatment and better chances of a cure. Some men, though, would never go to the doctor except for the women in their life. According to Leonard Lichtenfeld, MD, deputy chief medical officer for the national office of the American Cancer Society, women are often the ones who push men to get screened for cancer. Experts say that men could benefit greatly by being alert to certain cancer symptoms that indicate a trip to the doctor's office sooner rather than later. Some of those cancer symptoms in men are specific. They involve certain body parts and may even point directly to the possibility of cancer. Other symptoms are more vague. For instance, pain that affects many body parts could have dozens of explanations and may not be cancer. But that doesn't mean you can rule out cancer without seeing a doctor. If you're like most men, you've probably never considered the possibility of having breast cancer. Although it's not common, it is possible. "Any new mass in the breast area of a man needs to be checked out by a physician," Lichtenfeld says. In addition, the American Cancer Society identifies several other worrisome signs involving the breast that men as well as women should take note of. They include:
  • Skin dimpling or puckering
  • Nipple retraction
  • Redness or scaling of the nipple or breast skin
  • Nipple discharge
When you consult your physician about any of these signs, expect him to take a careful history and do a physical exam. Then, depending on the findings, the doctor may order a mammogram, a biopsy, or other tests.
Read about more cancer symptoms that men ignore »
Reviewed by Dennis Lee, MD on 3/7/2011
 
 

Women’s Health: Breast cancer surgery women ‘risk more operations’

JULY 14, 2012 BY 

BBC News Health

One in five women with breast cancer who has part of the breast removed, rather than the whole breast, ends up having another operation, a BMJ study suggests.

The reoperation rate increases to one in three for women whose early-stage cancer is difficult to detect.

In England, 58% of women with breast cancer have breast-conserving surgery.

Women should be told of the risk of further operations when choosing surgery, researchers say.

The study, led by researchers from the London School of Hygiene and Tropical Medicine and published in the British Medical Journal, looked at data collected on 55,297 women with breast cancer in England.

They all underwent breast-conserving surgery, rather than a mastectomy, on the NHS between 2005 and 2008. All the women were aged 16 or over.

They then looked at procedures carried out in the three months following the first breast operation.

The researchers took tumour type, age, socio-economic deprivation and other health problems into account.

When combined with radiotherapy, the study says that breast-conserving surgery is as effective as mastectomy, particularly for patients with an obvious, invasive tumour.

‘Emotional distress’

However, because some pre-invasive cancers called ‘carcinoma in situ’ are difficult to detect, because they don’t form a lump, breast conserving-surgery may not remove the cancer completely.

This could result in another operation.

The study says that additional operations put women’s lives on hold while they wait for more surgery. It can delay their return to work, cause emotional distress and result in the need for reconstructive surgery to the breast.

Out of the 55,297 women who underwent breast-conserving surgery, 45,793 (82%) were suffering from isolated invasive cancer, 6,622 (12%) had isolated carcinoma in situ (pre-cancerous disease), and 2,882 (6%) had both types of cancer.

Another operation was more likely among women with pre-cancerous disease (29.5%) compared with those with isolated invasive disease (18%).

Around 40% of women who had a reoperation underwent a mastectomy.

Further results suggest that a repeat operation is less likely in older women and women from more deprived areas.

‘Empowering patients’

Prof Jerome Pereira, study author and consultant breast surgeon at James Paget University Hospitals in Great Yarmouth, said the findings would help women to make decisions about their treatment.

“Patients should feel reassured that clinicians can now advise them more clearly.

“We all have a different attitude to risk but this is empowering patients to make the right decision for themselves.”

Prof Pereira said the study results would help surgeons too.

“This research focuses surgeons and challenges us to try and reduce reoperation rates.

“We need to refine imaging techniques to make this happen – and this opens up more areas for more research.”

‘Increase survival’

Ramsey Cutress, Cancer Research UK breast cancer surgeon at the University of Southampton, said it was standard practice to discuss the possibility of further surgery with patients.

“It’s important for patients to fully understand the pros and cons of surgery. The ultimate aim of these repeat operations after breast-conserving surgery is to reduce the chance that breast cancer will return in the breast, and increase survival from the disease.

“Rates of breast cancer recurrence are also reduced by other treatments such as radiotherapy, hormone therapy and chemotherapy where appropriate.

“There’s an ongoing need to better identify those at high risk of breast cancer recurrence, and to carefully select those who would benefit the most from further surgery.”

Women’s Health – LadyRomp.  

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October 14, 2012

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