A Case of Male Breast Cancer in Rural America: Treatment Delays and Healthcare Access Challenges.

Introduction: Breast cancer in male is a rare, constituting less than 1% of all breast cancer cases, often leading to delayed diagnoses and poorer outcomes compared to women. Diagnosis in rural settings is particularly challenging due to limited healthcare access, lower awareness, and cultural stigmas. We report a case highlighting the unique challenges faced by rural male breast cancer patients, emphasizing the need for improved screening and awareness.

Case presentation: A 60-year-old male with a significant smoking history and breast cancer presented to the emergency department with severe back and left lower extremity pain. Clinical evaluation revealed an erythematous lesion near the left nipple. Imaging and biopsy confirmed worsening metastatic breast carcinoma involving multiple vertebral bodies. The patient previously received hormonal and targeted therapies but discontinued treatment due to lack of resources, insurance issues, and follow-up associated with breast cancer diagnosis. Upon reinitiating treatment and receiving palliative radiation, the patient showed significant clinical improvement, demonstrating a complete metabolic response on follow-up imaging.

Conclusion: This case underscores the significant barriers to timely breast cancer diagnosis and management in men, particularly in rural communities. Increased awareness, targeted screening protocols, and improved healthcare access are critical to addressing these disparities, potentially improving prognosis and quality of life for male breast cancer patients.