Particularities of Male Breast Cancer in the Rabat Region: A Multidimensional Approach

Introduction: Male breast cancer is a rare disease, accounting for just 1% of all breast cancers. This low incidence and lack of awareness often lead to delayed diagnosis and advanced disease. In addition to its specific clinical and epidemiological features, it has a significant psychological impact, due to its feminine connotations and the stigma attached to the diagnosis.  Methods: This retrospective descriptive study analysed the clinical, epidemiological and psychosocial data of breast cancer patients. Data were collected from medical records, and from semi-structured interviews with patients.  Results: The mean age at diagnosis was 63, with most patients consulting for a retroareolar mass, but also for delayed presentation, sometimes more than 6 months. Locally advanced forms were noted. The ordeal of the disease was marked by significant psychological distress: anxiety, social isolation, body image problems and feelings of stigmatisation. Several patients said they were embarrassed to talk about their illnesses, fearing a lack of social and medical understanding.  Conclusion, Male breast cancer poses multiple problems. In addition to medical treatment, a comprehensive approach including psychological support is needed. Better information for the public and healthcare professionals would enable earlier detection and more appropriate treatment, both somatic and psychological.