ERKEK MEME KANSERİ CERRAHİ DENEYİMİMİZ

Öz

Amaç Erkek Meme Kanseri nadir görülen bir hastalıktır. İnsidansı son yıllarda artmakta, ancak sağkalım sonuçları iyileşmektedir. Prospektif randomize çalışmaların eksikliği nedeniyle, kadın meme kanseri kılavuzlarına göre tedavisi ve takibi yapılmaktadır. Ancak kendine özgü anatomi ve fizyolojisi nedeniyle hastalığın seyrinde farklılıklar olabileceği düşünülmektedir. Gereç ve Yöntem Süleyman Demirel Üniversitesi Tıp Fakültesi Cerrahi Onkoloji Kliniği’ nde Ocak 2011 – Ocak 2020 tarihleri arasında meme kanseri nedeniyle opere edilen erkek hastaların verileri retrospektif olarak değerlendirildi. Adenokarsinom dışındaki meme patolojileri çalışmaya dahil edilmedi. Bulgular Çalışmaya 7 hasta dahil edildi. Aynı süre içerisinde 847 kadın hasta görülürken, erkek hasta oranı % 0,8 idi. Tüm hastalara total mastektomi ile birlikte level 1, 2, 3 aksiller diseksiyon yapıldı. Patoloji sonuçları değerlendirildiğinde; 1 (% 14,2) hastada evre 1, 2 (% 28,5) hastada evre 2, 3 (% 42,8) hastada evre 3, 1 (% 14,2) hastada evre 4 hastalık olduğu görüldü. Genel sağkalım ortanca değeri 48 ay (min: 35 - max: 53 ) olarak saptandı. Sonuç Erkek meme kanserinin aynı evredeki hastalarda prognozunun kadın meme kanserinden daha kötü olmadığı gösterilmiştir. Ancak geç tanı, tedaviye uyumsuzluk ve standardizasyon problemleri nedeniyle pratikte daha kötü prognoz söz konusudur. Erkek meme kanseri konusunda farkındalığın artırılması ve yapılacak geniş çaplı prospektif randomize çalışmalar neticesinde tedavinin erkek meme kanserine özgü, standardize edilmesi ile daha iyi sonuçlara ulaşılabileceğini düşünüyoruz.

Anahtar Kelimeler

• erkek meme kanseri,
• mastektomi
• meme kanseri

OUR MALE BREAST CANCER SURGERY EXPERIENCE

Öz

Objective Male breast cancer is a rare disease. Its incidence has increased in recent years, but survival outcomes are improving. Due to the lack of prospective randomized trials, it is treated and followed up according to female breast cancer guidelines. However, it is thought that there may be differences in the course of the disease due to its unique anatomy and physiology. Materials and Methods The data of male patients who were operated for breast cancer in Süleyman Demirel University Medical Faculty Surgical Oncology Clinic between January 2011 and January 2020 were evaluated retrospectively. Breast pathologies other than adenocarcinoma were not included in the study. Results Seven patients were included in the study. During the same period, 847 female patients were seen, while the rate of male patients was % 0,8. Level 1, 2, 3 axillary dissection was performed in all patients along with total mastectomy. When the pathology results were evaluated, it was seen that 1 (14,2 %) patient had stage 1, 2 (28,5 %) patient stage 2, 3 (42,8 %) patient stage 3, 1 (14,2 %) patient stage 4 disease. The median overall survival was 48 months (min: 35 - max: 53). Conclusion It has been shown that the prognosis of male breast cancer in patients at the same stage is not worse than female breast cancer. However, in practice, the prognosis is worse due to late diagnosis, noncompliance with treatment and standardization problems. We believe that better results can be achieved by raising awareness about male breast cancer and standardizing treatment specific to male breast cancer as a result of large - scale prospective randomized trials.

Anahtar Kelimeler

• breast cancer,
• male breast cancer
• mastectomy

Kaynakça

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