Adenoid cystic carcinoma of the male breast.
We present an 82-year-old male patient who presented with complaints of gradually an increasing ulcero-proliferative lesion with persistent mucinous discharge in the left breast. Left side-modified radical mastectomy was done. This was histopathologically diagnosed as an adenoid cystic carcinoma of the left breast. Periodic acid schiff (PAS) staining confirmed the diagnosis. Three of the five axillary lymph nodes excised were positive for malignancy. Although the patient was advised to have postoperative radiotherapy, he did not comply. After 2 years, the patient again presented with local recurrence of the disease. Wide excision of the recurrent malignant nodules over the anterior chest wall was done, and the defect was covered primarily with split thickness skin grafting. Postoperative radiation was given. For the past 9 months, the patient has maintained a regular follow-up on an outpatient basis. He does not have any evidence of recurrence of the tumor--neither locally nor distant metastasis.
Kshirsagar
Ashok Yadavrao
AY
Department of Surgery, Krishna Institute of Medical Sciences, Karad, Maharashtra, India. drayk@indiatimes.com
Wader
J Vijay
JV
Langade
Yogesh Bhupal
YB
Jadhav
Kirankumar P
KP
Zaware
Sagar Uday
SU
Shekhar
Neeraj
N
D000369:Aged, 80 and over; D018567:Breast Neoplasms, Male / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery*; D003528:Carcinoma, Adenoid Cystic / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D015411:Mastectomy, Modified Radical; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy / Q000601:surgery