In India, breast cancer in males is quite uncommon, although it is currently gaining more awareness and is being effectively treated because of the innovations in additional diagnostics and oncology services. Here is what happened:
Male Breast Cancer in India -Overview
Incidence: Represents less than 1 percent of the total number of breast cancer diseases in India although its awareness is increasing.
Age Group: Commonly afflicts men ages 50-70 but younger males are diagnosed with it as well.
Risk Factors:
Family history of breasts cancer (in particular BRCA2 mutation)
The treatment of male breast cancer is carried out in the same way as in the female version; however, surgery and hormone therapy are usually modified to male anatomy.
Oncology hospitals in India have followed international standards of treatment procedures including NCCN guidelines and ESMO guidelines.
Control Treatment Plan
Treatment varies with regard to stage, tumor biology (ER/PR/HER2) status, spread, and the health of the patient, in general.
Surgery- most disorders are treated on first-line basis
Modified Radical Mastectomy (MRM): The complete removal of the breast tissue + the lymph nodes of the armpit.
Sentinel Lymph Node Biopsy (SLNB): Minimally-invasive procedure of lymph node inspection to prevent unwarranted whole-node removal.
Reconstructive Surgery: It can be done but rare in male breast cancer.
Radiation Therapy
Normally administered at or post-surgery, particularly when:
Tumor >5 cm
Lymph nodes positive
Margins unclear
Time: 3-6 wks.
Chemotherapy
Administered due to high grade tumors, lymph node involvement or metastatic disease.
Common drugs: Paclitaxel, Doxorubicin, Cyclophosphamide, Docetaxel.
With 3 weeks between 4-8 cycles.
Hormonal Therapy
Tamoxifen is the norm (the majority of male breast cancer estrogen receptor positive).
In some circumstances aromatase inhibitors (Anastrozole, Letrozole).
Taken post-operatively in a 5-10 years regime.
Targeted Therapy
In case of HER2-positive cancers:
Trastuzumab (Herceptin) +- Pertuzumab
Very effective at a high cost.
Immunotherapy
In advanced/metastatic cancers where there is specific biomarker (e.g., PD-L1 positive).
These are the typical symptoms of breast cancer in males, though everyone should remember that it tends to silently evolve and be noticed when it is already quite late mostly due to the lack of screening in men.
Generalized Symptoms
Bump or protrusion of the breast
Usually painless
Stiff and hard and tend to be behind or next to the nipple
Nipple Changes
Inversion of the nipple (turning in)
Scaling or redness of the skin of the nipple
Sores or ulcer on the nipple
Nipple Discharge
Green, Yellow, bloody, and clear discharge
It may be spontaneous or it may occur on pressure
Breast Skin Change
Becoming dimpled (skin resembles orange peel)
Scaling, thickening or redness
Skin ulceration (severe stages)
Underarm Changes
The armpit (swelling or lump in the armpit, which is also the enlarged lymph nodes)
Pain in the axillary.
Less common / advanced stage symptoms
Breast or chest pain
Arm swelling (because of blockage of lymphatic system)
Loss of weight, pain in our bones or shortness of breath (in case of spread of cancer).
Male breast cancer surgery in India
This is a comprehensive description of conducting male breast cancer surgery in India, its types, and procedure.
The purpose of Surgery
In men, first line treatment is typically surgery due to the smaller breast tissue and location of lumps on the breast that are often near the nipple.
It aims at:
Cut the cancer tissue off
Determine whether there is spread of cancer to lymph nodes
Retain as much good tissue as could be spared
Breast Cancer Surgery in Men
There are four types of breast cancer surgery in men:
Modified radical mastectomy (MRM)
Majority of surgery in men
Removes:
Full breast and nipple & areola tissue
Some skin
The lymph nodes of the axilla regionTpnothy
Sparing of chest muscles Leaves chest muscles untouched
Simple (Total) Mastectomy
Removal of total breast tissue and no lymph nodes
It was applied in some very early-stage tumors without involvement of lymph nodes
Sentinel Lymph Node Biopsy (SLNB)
Primary drainage of the breast to the lymph node/nodes
Checks the first draining node
Skips the total removal lymph nodes in case of no cancer cells found
Axillary Lymph Node Resections
Takes out some of the lymphatic nodes under the arm in case the cancer has been found in them
Breast Reconstruction
Infrequent on male clients however, it may happen because of cosmetic reasons following mastectomy
Surgery Process in India
Pre-operative Workup: Blood diagnostic tests, Electrocardiography, X-ray of the chest, ultrasound/ mammogram, confirm biopsy
Anaesthesia: normally general anaesthesia
Procedure :1.5 to 3 hours
Hospital Stay : 2-5 days
Recovery-: majority of the patients are able to go back to normal activity within 2-3weeks.
Male breast cancer diagnosis in India
Here's a step-by-step analysis of male breast cancer diagnosis in India, steps, tests, price, and best diagnostic hospitals.
Purpose of Diagnosis
Ascertain if a breast lump or symptom is cancer
Determine the cancer type (ductal, lobular, etc.) and stage
Determine hormone receptor and HER2 status to aid in treatment
Identify any spread to lymph nodes or distant organs
Diagnostic Steps in India:
Medical History & Physical Examination
Physician examines:
Size, location, texture of the lump
Nipple changes (inversion, discharge)
Skin changes
Lymph node swelling in the armpit or collarbone area
Imaging Tests
Mammography
Although uncommon in men, will see tumors and calcifications
Breast Ultrasound
Excludes cysts (fluid-filled) and solid masses
MRI (in certain situations)
For clear imaging or when mammogram/ultrasound is uncertain
Biopsy (Gold Standard for Diagnosis)
Fine Needle Aspiration Cytology (FNAC): Rapid, little pain
Core Needle Biopsy: Tissues a small sample for close examination
Excisional Biopsy: Removes whole lump if small
Laboratory Tests on Tumor Sample
Histopathology: Assures cancer type
Immunohistochemistry (IHC): Assesses ER, PR, HER2 status
Ki-67 Index: Quantitates tumor growth rate
Male breast cancer treatment in India GetWellGo
This is organized format of Treatment of breast cancer in males in India- GetWellGo that may be utilized as a patient friendly content in medical tourism.
Male Breast Cancer Treatment in India – GetWellGo
Male breast cancer is not common but it is still treatable and oncology care in India is of world class level with very low prices as compared to foreign countries. GetWellGo links you to the best cancer hospitals, skilled oncologists, and individualized care plans to achieve good results.
Overview:
Incidence: <1% of all breast cancers occur in men in India.
Average age range: 50 70 years (and earlier).
Treatment Success: Good survival rate and multidisciplinary approach in the case of early detection.
Indian Treatment options:
GetWellGo collaborates with major hospitals which undertake treatment in line with international standards in the treatment of male breast cancer.
Surgery
Most common is the Modified Radical Mastectomy
Sentinel Lymph Node Biopsy
Radiation Therapy
Attacks remaining cancer cells post-surgery
Chemotherapy
Applied in bigger tumors, the propagation of lymph nodes, or more fierce cancers
Trastuzumab (Herceptin) in cancer of HER2-positive cancer
Why Choose GetWellGo for Male Breast Cancer Treatment?
GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.
We offer:
Complete transparency
Fair costs.
24 hour availability.
Medical E-visas
Online consultation from recognized Indian experts.
Assistance in selecting India's top hospitals for male breast cancer treatment.
Expert oncologists with a strong track record of success
Assistance during and after the course of treatment.
Language Support
Travel and Accommodation Services
Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
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