A MAN ALSO HAS BREAST

Introduction: Breast cancer is rare in men and can be linked to family history, exposure to radiation or elevated levels of estrogen. Treatment probabilities are similar, however the delay in diagnosis and spread to lymph tissue are factors that complicate treatment. The description of this clinical case aims to give visibility to the problema. A 79 years old man, who is member of a highly functional nuclear family (stage VIII of Duvall life cycle). History of Atrial fibrillation, hypertension, dyslipidemia, prostate patology, glaucoma. In April 2013 appealed by a nodular mass in the left breast, with about 1 cm, with no malignancy signs at physical observation and showing no other signs or symptoms. It was requested ultrasound - "small fibroma or hematoma with 11x10 mm" indicating to review in six months, which was carried out with the result of "extra-mammary nodule hypoechoic heterogeneous, without modification since the last examination." Was maintaining his usual vigilance and in November/2014 refered a "different feeling" and was visible a local swelling and palpable a hard breast nodule, about 2 cm in diameter. Mammography result was BI-RADS 5 and ultrasonography show a “mass with muscle invasion and malignant characteristics”. Forwarded to a reference center, two days later began the Breast cancer aproach - biopsy, mastectomy, radiotherapy and chemotherapy. Currently in follow up surveillance. In conclusion, when approaching breast cancer we evoque women, but 1% of cancers occur in men. In order to prevent diagnostic delays, the family doctor should be aware of this disease entity.