Case Report
 
Bilateral synchronous breast cancer in an elderly man: A case report
Unmesh Vidyadhar Takalkar1, Shilpa Balaji Asegaonkar2, Balaji Narayan Asegaonkar3, Pushpa Ravindra Kodlikeri4
11MS, Consultant Surgeon Kodlikeri memorials CIIGMA Institute of Medical Sciences, Aurangabad, Maharashtra, India.
2MD, Biochemistry, Assistant Professor Department of Biochemistry Government Medical College, Aurangabad Maharashtra, India.
3MD, D.N.B, Anesthesiology, Consultant Anesthesiologist Kodlikeri memorials CIIGMA Institute of Medical Sciences Aurangabad, Maharashtra, India.
4Consultant Gynecologist Kodlikeri memorials CIIGMA Institute of Medical Sciences Aurangabad, Maharashtra, India.

doi:10.5348/ijcri-2014-02-454-CR-6

Address correspondence to:
Dr. Unmesh Vidyadhar Takalkar
Kodlikeri memorials CIIGMA Institute of Medical Sciences Opposite S.F.S. School
Jalna Road
Aurangabad, Maharashtra
India - 431005
Phone: 919822042425
Fax: 912402359279
Email: drunmesh.aurangabad@gmail.com

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How to cite this article:
Takalkar UV, Asegaonkar SB, Asegaonkar BN, Kodlikeri PR. Bilateral synchronous breast cancer in an elderly man: A case report. International Journal of Case Reports and Images 2014;2(5):118–121.


Abstract
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.

Keywords: Male breast cancer, Bilateral synchronous breast cancers, Invasive duct carcinoma


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Author Contributions
Unmesh Vidyadhar Takalkar – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Shilpa Balaji Asegaonkar – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Balaji Narayan Asegaonkar – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Pushpa Ravindra Kodlikeri – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Authors declare no conflict of interest.
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© Unmesh Vidyadhar Takalkar et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)