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O cancro de mama no homem é uma doença rara, representando menos de 1% de todas as neoplasias do sexo masculino, mas cuja incidência tem vindo a aumentar nas últimas décadas com o aumento da esperança média de vida. Permanece, por esta razão, uma área subestimada e frequentemente negligenciada, tanto na investigação e prática clínica como pela população em geral. Enquanto a informação e orientação médica relativas ao rastreio, diagnóstico e tratamento de tumores de mama na mulher têm vindo a aumentar exponencialmente, traduzindo-se na prática por uma diminuição significativa da mortalidade, no sexo masculino há ainda muitas lacunas por preencher. Apesar da mama do homem ter dimensões inferiores às da mulher, tornando qualquer nódulo mais fácil de identificar, o tumor maligno é diagnosticado geralmente em estadios mais avançados, em parte pela falta de literacia da população. Neste trabalho apresenta-se um caso clínico de um doente do sexo masculino com múltiplos fatores de risco para cancro de mama e comorbilidades, que acabou por falecer com diversas metástases ganglionares e ósseas. Oferece-se uma visão abrangente do conhecimento atual sobre esta patologia, destacando a necessidade de estudos adicionais para otimizar a deteção precoce, a abordagem clínica e a sobrevida destes doentes; refletindo-se ainda sobre o papel da imagiologia.
Breast cancer in men is a rare disease, accounting for less than 1% of all neoplasms in males, but its incidence has been increasing in the recent decades with rise in life expectancy. It remains, for this reason, an underestimated and often neglected area in research and clinical practice as well as by the general population. While information and medical guidance regarding screening, diagnosis, and treatment 3 of female breast cancer have been exponentially increasing, resulting in a significant decrease in mortality, there are many gaps to be filled in the male population. Despite the male breast being smaller in size comparing to the female breast, making any nodule easier to identify, malignant tumors are generally diagnosed at more advanced stages, partly due to the lack of literacy among the population. This work presents a clinical case of a male patient with multiple risk factors for breast cancer and comorbidities, who ultimately passed away with various metastases involving lymph nodes and the bone. A comprehensive overview of the current knowledge on this pathology is provided, highlighting the need for additional studies to optimize early detection, clinical approach, and overall survival of these patients; also reflecting on the role of imaging.
Breast cancer in men is a rare disease, accounting for less than 1% of all neoplasms in males, but its incidence has been increasing in the recent decades with rise in life expectancy. It remains, for this reason, an underestimated and often neglected area in research and clinical practice as well as by the general population. While information and medical guidance regarding screening, diagnosis, and treatment 3 of female breast cancer have been exponentially increasing, resulting in a significant decrease in mortality, there are many gaps to be filled in the male population. Despite the male breast being smaller in size comparing to the female breast, making any nodule easier to identify, malignant tumors are generally diagnosed at more advanced stages, partly due to the lack of literacy among the population. This work presents a clinical case of a male patient with multiple risk factors for breast cancer and comorbidities, who ultimately passed away with various metastases involving lymph nodes and the bone. A comprehensive overview of the current knowledge on this pathology is provided, highlighting the need for additional studies to optimize early detection, clinical approach, and overall survival of these patients; also reflecting on the role of imaging.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2024
Palavras-chave
Neoplasias da mama masculina Fatores de risco Rastreio Exames de imagem Imagiologia
