Secretory breast carcinoma in a man. A case report with rapid evolution unfavorable

Secretory carcinoma or juvenile carcinoma of the breast is a very rare tumor of male adults. Generally, it has a good prognosis after locoregional treatment. The authors report on observation of a secretory carcinoma occuring in a 20 year old man. The lesion presented os a voluminous tumor 12 cm in diameter with 3 positive lymph nodes, it was treated by mastectomy and axillary dissection. Tumor developed in a few months, with viceral metostasis and fatal issue. The cytological, histological and immunohistochemicol features necessory to the diagnosis ore described. The rapid development of this case of secretory carcinomo is unusual. This leads the authors to propose the use of an additional treatment for adult secretory breast carcinoma with more than 3 positive lymph nodes.