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CompletedNCT07865507Updated Oct 8, 2026

Divergent Long-Term Clinical Courses in Two Men With Breast Cancer

An observational study in Hormone Receptor-Positive Male Breast Cancer, sponsored by Azerbaijan Medical University. Completed at 1 site in Azerbaijan. Open to male participants aged 50 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by Azerbaijan Medical University · Observational

Updated Oct 8, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
2
Ages
50 Years to 60 Years
Sex
Male
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Study summary

This observational study describes the long-term clinical courses of two men with hormone receptor-positive, HER2-negative invasive breast cancer. Although both tumors had similar receptor profiles, the patients experienced very different outcomes. One patient developed progressive locally advanced disease followed by metastases to the lungs, bones, liver, mediastinal lymph nodes, and bilateral axillary lymph nodes after multiple systemic treatments and without definitive breast surgery. The second patient underwent mastectomy and axillary surgery followed by adjuvant chemotherapy and had no documented locoregional recurrence approximately 9.6 years after surgery. The study compares clinical stage, lymph-node involvement, pathology, treatment exposure, imaging findings, and follow-up to illustrate that prognosis in male breast cancer cannot be determined from hormone receptor status or a single biomarker alone

Read the detailed description

This retrospective observational study describes two men with grade 2, estrogen receptor-positive, progesterone receptor-positive, HER2-negative invasive breast carcinoma who were treated within the same regional oncology network and had markedly different longitudinal clinical courses. The study examines clinicopathologic characteristics, local and systemic treatment, imaging, laboratory findings, and long-term outcomes.Case 1 had right-sided breast cancer initially documented as T2N0M0 in 2020 and presented to the National Oncology Center in 2023 with extensive involvement of the breast, nipple-areola complex, skin, and right axillary lymph nodes. Core biopsy showed invasive carcinoma of no special type, grade 2, with ER expression of approximately 90-95%, PR expression of 60-70%, HER2 immunohistochemistry 1+, and Ki-67 of approximately 10-12%. He received several systemic treatment regimens, including taxane- and anthracycline-based chemotherapy and later fulvestrant with ribociclib. Surgery was initially considered infeasible and was later offered after a clinical response but declined. The disease subsequently progressed, with pulmonary, osseous, hepatic, mediastinal, and bilateral axillary metastatic involvement documented during 2025-2026.Case 2 was diagnosed in 2016 with left-sided invasive breast carcinoma of no special type, grade 2. He underwent left mastectomy with axillary tissue removal. Six axillary lymph nodes contained metastatic carcinoma, with pathologic classification pT2N2aMx. The tumor showed ER expression of approximately 80%, PR expression of approximately 75%, HER2 immunohistochemistry 1+, and Ki-67 of approximately 30-35%. He received adjuvant anthracycline/cyclophosphamide-based chemotherapy followed by taxane treatment. At the latest documented assessment on 18 June 2026, approximately 9.6 years after surgery, there was no documented locoregional recurrence, no enlarged regional lymph nodes, no focal hepatic lesion, and serum CA 15-3 remained within the local reference range.The study focuses on the contrast between these two clinical courses despite broadly similar hormone receptor-positive, HER2-negative phenotypes. It evaluates the importance of anatomic stage, nodal burden, local disease control, treatment exposure and continuity, and serial clinical and imaging assessment. The comparison also illustrates that Ki-67, receptor status, or CA 15-3 should not be interpreted in isolation when assessing an individual patient's long-term course

02

Conditions studied

  • Hormone Receptor-Positive Male Breast Cancer

Keywords

  • male breast cancer; estrogen receptor (ER); progesterone receptor (PR); HER2-negative; invasive breast carcinoma; metastatic progression; long-term follow-up
03

In context

Breast Neoplasms, Male

123 studies on the registry are indexed under Breast Neoplasms, Male; 7 are open to participants now.

This study's enrollment of 2 is below the median of 150 across 13 observational studies indexed under Breast Neoplasms, Male.

Browse Breast Neoplasms, Male studies →

Lead sponsor

Azerbaijan Medical University is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
50 Years to 60 Years
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consisted of two adult men with histologically confirmed hormone receptor-positive, HER2-negative invasive breast carcinoma treated within the same regional oncology network. Both cases had available pathology, imaging, treatment, and longitudinal follow-up data. The study retrospectively compared their clinicopathologic characteristics, treatment exposure, disease progression or recurrence status, and long-term clinical outcomesS

Eligibility criteria

Inclusion Criteria: Sufficient clinical records available for review of pathology, treatment history, imaging, and longitudinal follow-up, Male patients aged 18 years or older; histologically confirmed invasive breast carcinoma; estrogen receptor-positive and progesterone receptor-positive disease, HER2-negative disease -

Exclusion Criteria: Female patients, patients younger than 18 years, breast lesions without histologic confirmation of invasive carcinoma, cases without adequate clinical documentation for longitudinal assessment

-

05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
2 participants (actual)
Patient registry
No

Groups and cohorts

  • Case 1: Metastatic Right Breast Cancer

    Male patient with grade 2, hormone receptor-positive, HER2-negative right breast carcinoma. The disease was initially documented as T2N0M0 in 2020 and later progressed to locally advanced and metastatic disease with pulmonary, osseous, hepatic, mediastinal, and bilateral axillary involvement. The patient received multiple systemic treatment regimens, but the cancer had progressed to incurable stage IV.

    Other: Follow-up

  • Case 2: Long-Term Follow-up After Left Breast Cancer

    Male patient with grade 2, hormone receptor-positive, HER2-negative left breast carcinoma who underwent mastectomy with axillary surgery in 2016, followed by adjuvant chemotherapy. At approximately 9.6 years after surgery, no documented locoregional recurrence, enlarged regional lymph nodes, or focal hepatic lesion was identified. Survival is about 10 years.

    Other: Follow-up

Interventions

  • OtherFollow-up

    Clinical treatments, diagnostic evaluations, imaging, pathology assessment, and follow-up were provided as part of routine clinical care and were not assigned by the observational study protocol. The study retrospectively reviewed these exposures and their associated longitudinal outcomes

06

What researchers measure

Primary outcomes

  1. Longitudinal Clinical Course of Male Breast Cance

    Comparison of disease progression, recurrence status, metastatic spread, treatment exposure, and follow-up findings in two men with hormone receptor-positive, HER2-negative invasive breast carcinoma

    Time frame: From initial diagnosis through the latest documented follow-up, up to approximately 9.6 years

  2. Longitudinal Clinical Course of Male Breast Cancer

    Comparison of disease progression, recurrence status, metastatic spread, treatment exposure, and follow-up findings in two men with hormone receptor-positive, HER2-negative invasive breast carcinoma

    Time frame: From initial diagnosis through the latest documented follow-up, up to approximately 9.6 year

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Study locations

1 site
  • The National Oncology Center
    Baku, Nasimi AZ1022, Azerbaijan
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References and documents

Publications

  • Giordano SH. Breast Cancer in Men. N Engl J Med. 2018 Jun 14;378(24):2311-2320. doi: 10.1056/NEJMra1707939. No abstract available. PubMed 29897847 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because this is a two-patient retrospective case report containing detailed clinical, pathology, imaging, treatment, and longitudinal follow-up information. Given the very small sample size and the specificity of the clinical histories, participant re-identification remains possible even after removing direct identifiers.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2016 to primary completion in Aug 2026, 117 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 3, 2026
First posted
Oct 8, 2026
StartActual
Nov 16, 2016
Primary completionActual
Aug 21, 2026
CompletionActual
Aug 21, 2026
Last update
Oct 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07865507
Lead sponsor
Azerbaijan Medical University
Responsible party
Mahira Amirova (Associated Professor, Azerbaijan Medical University) — Principal investigator
First posted
Oct 8, 2026
Start date
Nov 16, 2016
Primary completion
Aug 21, 2026
Completion
Aug 21, 2026
Last update
Oct 8, 2026

Study contacts

Mahira Firudin Amirova, PhD
principal investigator · Azerbaijan Medical University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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