Beuy Joob1, Viroj Wiwanitkit2. 1. Sanitation 1 Medical Academic Center, Bangkok, Thailand. 2. Department of Tropical Medicine, Hainan Medical University, Hainan, China.
Sir,The recent report on male breast cancer is very interesting.[1] Garg and Kumar mentioned that “breast cancer should always be kept in the differential diagnosis of a mammary lump in male patients so as to avoid the delay in the diagnosis and subsequently appropriate treatment.[1]” The complex concomitance between tuberculosis and malignancy is also discussed.[1] In fact, the breast cancer in male is not a surprising problem. However, the problem is usually due to the lack of concern by the attending physician. As noted by Bi et al., “clinical diagnosis is frequently delayed due to the general lack of awareness among physicians and patients.[2]” The basic suggestion for any suspected case is to “proceed directly to surgery as their initial diagnostic test.[3]” Volpe et al. noted that “heightened awareness of the increased risk in certain men by both physicians and patients, and adherence to guidelines recommended for the surveillance of men at increased risk, may result in earlier detection.[4]”