Male Breast Gancer in LAUTECH Teaching Hospital Osogbo, South Western Nigeria. A. S. OGUNTOLA, A. O.A. ADERONMU, M. L. ADEOTI, S. A. OLATOKE, O.AKANBI, S.O.AGODIRIN Department of Surgery, LAUTECH Teaching Hospital Osogbo Nigeria Correspondence: A. S.Oguntola Summary Aim: To assess the prevalence, presentaiion, treatment and outcome of management of malebreast cancer (MBC) in osogbo, Nigeria, Methods:A reviewof all cases of MBC seen at LAUTECHTeaching Hospital Osogbo between January 2004 and December 2006 was done, The age, presenting symptoms and signs, stage, histology, associated co-morbid illnesses, treatment and outcome of carewereall retrieved and analysed. Results: Seven(8.86Vo)outofseventyninecasesofbreastcancersseenaremales. Ages rangedbetween 38 and 80 years (mean 60.5 median 65 years).Theyall presented with advanced lesions aftera 6 -36 months delay (mean-11.57months). All were invasive ductal carcinoma, All the four withsignfficant co'morbid illnesses died of them within oneweek to seven nt,onths, OnIyone patient hadmastectotny' Conclusion: MBC constitutes 8.86Vo of all breast cancer, all presented late with advanced lesions and co-morbid illnesses contributed signiftcantly to mortality. Key words: MBC. Iate presentation, prevalence, histology, co-morbid illnesses. It hasbeenfound that lessthan 17o of all breast cancers occur in males with peak incidence in the 7th decade.r-3 TheJews andBlacks have higher incidence. Male breast cancer(MBC) may be associated with Klinefelter syndrome, oestrogen therapy, irradiation, relatively highendogenous oestrogen and obesity.4'5 Most cases (80 - 907o) are hormone receptor-positive,6 and have been strongly associated with BRCA 2 gene7. The presentation is similar to that of female but tends to be ratherlate fromnon-recognition, Rarity of cases precludes prospective study on aetiology,presentation and management of this condition. A retrospective study of cases seen in LAUTECH Teaching Hospitalis hereby presented, analysing the clinical features, age,stage, histology andresult of care. Materials/lVlethods Data on menwith diagnosis of breast cancer Seen in the general surgery division of LAUTECH Teaching Hospital Osogbo, South-Western Nigeria from year2004 to 2006 was retrieved fromcase files and reviewed to assess the age, clinical features, stage, histology, associated problems, co-morbid illness, treatment given and outcome of care, The total number of all breast cancer cases treated within the same period wasalsoconsidered. The rather little number of cases seen does not allow for statistical analysis. Results Seventy nine cases of breast cancer wereseen during the period underreview (2W - 2C[,6); seven (8.867o) of these are males with their ages ranging between 38 - 80 years (mean 60.5 years, median 65years), all of low socio- economic class. Three were farmers, two were retired civil servants, one was a driverwhile the remaining one trader. They all presented with breast lump of between 6 to 36 The NigerianPostgraduate Medical Journal, Vol. 16,No.2, June 2009.