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Primary ectopic breast carcinoma arising in the inguinal region in a male patient


1 Department of Radiation Oncology, CBCC Apollo Hospital, Gandhinagar, Gujarat, India
2 Undergraduate Medical Student, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India
3 Department of Surgical Oncology, Apollo Hospital, Gandhinagar, Gujarat, India

Correspondence Address:
Vivek Y Bansal,
1st Floor, Department of Radiation Oncology, CBCC Apollo Hospital, Gandhinagar - 382 428, Gujarat
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcrt.JCRT_777_20

Carcinoma arising in ectopic breast tissue is a rare entity, especially in males, in whom the diagnosis is often delayed due to a low index of suspicion. Conventional imaging techniques fail to characterize the tumor, adding further to the diagnostic dilemma. We report the first case in our knowledge of an extramammary primary breast carcinoma arising in the inguinal region in a male. Our patient, a 69-year-old male, presented with a swelling in the left inguinal region, which was excised and diagnosed as luminal A type invasive ductal carcinoma. He received adjuvant external beam radiotherapy (50 Gy administered in 25 fractions) and tamoxifen. A follow-up examination performed 6 months after the completion of the last dose of radiotherapy showed no residual disease. The modalities of treatment for such tumors have been discussed, with emphasis on surgery and radiotherapy, given the aggressive nature of the disease.


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