EPIDEMIOLOGICAL PROFILE OF BREAST CANCER IN MEN IN BRAZIL BETWEEN 2008 AND 2018

Objectives: To outline the epidemiological profile of breast cancer in men based on variables as mortality rate, age, race, hospitalization and total cost.

Daniel A. B. Buttros, Mauro T. Branco, Benedito S. A. Filho, Jorge Nahás-Neto, Eliana A. P. Nahás

Felipe Z. Pereira, Karla O. Elesbão, Victória O. Prados, Fabiane A. Carvalho

Institution: Centro Universitário de Anápolis – UniEVANGÉLICA
Objectives: To outline the epidemiological profile of breast cancer in men based on variables as mortality rate, age, race,
hospitalization and total cost. Methods: Ecological study, population-based and cross-sectional design. The total number of
cases and deaths occurred in Brazil for male breast cancer between january 2008 and 2018. The data were collected from the
Hospital Information System of SUS (SIH/SUS). Initially, descriptive statistics were performed and then the data were
analyzed by ratio scale and relative frequency. Results: The total number of cases of malignancy reported in Brazil, between
the mentioned period, was 4,090. The mortality rate presented progressive increase, with an average percentage of 7.5%. In
relation to age, the group of 35 to 70 years old had the highest number of patients, especially the young people aged 60 to 70
years, who represented 23% of the total. The third age also presented more than 25% of the deaths due to neoplasia. Whites
and browns were the most affected, accounting for 53% and 40% of the total, respectively. Most of the patients were treated in
private institutions, which, in turn, had a 3.5 times higher expenditure when compared to the public system. Conclusions: This
study verified an increase in the number of breast cancer cases in men in Brazil, as well as a rise in the death rate due to this
disease. The finding by age group shows a peak in young adults, which coincides with the world literature, which shows a
predominance between 60 and 70 years. In contrast, ethnicity analysis in this study shows that whites and browns account for
the majority of those afflicted, while the world standard shows blacks as the most affected. The higher expenditures by private
health agencies may be hypothetically justified by the fact that they have better conditions of medical and hospital care for
these patients. Nonetheless, it should be taken into account that SUS often directs patients to private institutions because they
do not have adequate and adequate infrastructure. Given the above, it is evident the need for studies aimed at a better
understanding of this disease, since late diagnosis, as reported, leads to higher death rates, as well as increasing expenditures of
government and private institutions with the treatment of patients. Key words: Breast cancer; Men; Epidemiology.