Inflammatory Breast Cancer in Men: A rare clinical case report and a literature review

Tanhueco, Angeline and Youssef, Mina M.G. (2021) Inflammatory Breast Cancer in Men: A rare clinical case report and a literature review. International Journal of Surgery Case Reports, 80. ISSN 2210-2612

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Abstract

Introduction and importance The initial misdiagnosis and delayed treatment for inflammatory breast cancer in men is brought about by its rarity and lack of readily available guidelines on pathways. Case presentation A 78-year-old male presented to the breast clinic with an abscess and was later diagnosed with inflammatory breast cancer. He presented with an abscess and was initially treated with antibiotics. Imaging showed a large left breast mass consistent with inflammatory carcinoma with axillary lymph node involvement. Patient was started on Tamoxifen as a bridge for surgery with no response. He eventually had a mastectomy and axillary clearance with the histology confirming the diagnosis and tumour emboli in the lymphatic vessels. Chemotherapy, radiation and dual hormone therapy were included in the adjuvant treatment plan. Two episodes of neutropenic sepsis led to completing only five out of six planned chemotherapy cycles. Clinical discussion A review of literature and the reported cases was done by the team to contribute to the little information published about the disease and its management. The presented to the breast clinic during the height of the SARS- CoV-2 pandemic. The global impact of SARS-CoV-19 made surgical teams find ways to lessen elective lists to give way for patients affected during the pandemic. Conclusion Very few cases of inflammatory breast cancer have been reported in men. The diagnosis can be missed leading to delay in management. Management can be challenging and complex.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 11 Mar 2021 00:40
Last Modified: 22 Apr 2021 23:48
URI: https://ueaeprints.uea.ac.uk/id/eprint/79429
DOI: 10.1016/j.ijscr.2021.105696

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