Bilateral synchronous breast cancer in an elderly man: A case report

Introduction: Bilateral synchronous breast cancers are seen extremely uncommonly in men. In this report, we describe a case of synchronous bilateral breast cancer in an elderly male without any significant risk factor.
Case Report: A 75-year-old male was presented with mass in right breast. After thorough clinical evaluation he underwent modified radical mastectomy for excision of tumor. Histopathologically, it was invasive duct carcinoma of grade II, stage II and positive for estrogen and progesterone receptors. Patient was managed with radiotherapy, adjuvant chemotherapy and oral tamoxifen 20 mg daily. After three months new lump in contra lateral breast was noticed. Again patient underwent modified radical mastectomy with diagnosis of invasive duct carcinoma of grade II and stage II. He received radiotherapy and hormone therapy. We managed the case of synchronous bilateral breast cancer successfully at our center. After bilateral modified radical mastectomy patient received radiotherapy, adjuvant chemotherapy and hormonal therapy with tamoxifen.
Conclusion: Proper clinical evaluation, mammography and fine-needle aspiration cytology play important role in diagnosis of male breast cancer. In depth studies focusing on etiopathology of the disease are necessary to optimize the management of male breast cancer patients.

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