RESUMO
Breast malignancy in men is an exceedingly rare condition, representing a small fraction of all diagnosed breast cancer cases. The most common histological subtype is invasive ductal carcinoma, while the mucinous type is extremely rare. This pathology has a high mortality rate due to its poor prognosis and diagnosis in advanced stages, often initially overlooked with limited screening. Surprisingly, more men have died from breast cancer than from testicular cancer. This report details a case of invasive mucinous carcinoma in a 75-year-old male who presented with a five-week history of chronic non-productive cough and signs of pleural effusion. A breast magnetic resonance imaging (MRI) revealed a retroareolar breast tumor, and a second-look ultrasound confirmed the presence of a BI-RADS 4C solid nodule. Histopathological and immunohistochemical results were confirmed by ultrasound-guided tru-cut biopsy, identifying invasive mucinous carcinoma and luminal B (HER2+) subtype. Staging studies were negative for metastasis, and a modified radical mastectomy was performed, yielding favorable intraoperative findings. The incidental diagnosis in this patient highlights the necessity of comprehensive imaging in atypical presentations. Despite its rarity, awareness and early detection of mucinous carcinoma are essential for optimizing patient outcomes. This case also underscores the disparity in breast cancer outcomes between low gross domestic product (GDP) and high-GDP countries, emphasizing the need for improved access to diagnostic and therapeutic resources. Enhanced clinical awareness and early detection are crucial for improving outcomes in patients with rare histological subtypes, particularly in underserved regions.
RESUMO
Criado em 2008, o Núcleo de Apoio à Saúde da Família (NASF) surgiu com a finalidade de aumentar as ações da Estratégia de Saúde da Família (ESF) por meio de sua atuação integrada com as equipes de saúde e todas as redes de serviço. O objetivo deste estudo foi analisar a percepção de Profissionais de Educação Física (PEF) inseridos no NASF sobre as funções e a efetividade da intervenção multiprofissional nas equipes no Município de São Paulo. Participaram do estudo oito profissionais com experiência no NASF (atualmente inseridos no NASF ou que já trabalharam nessas equipes). Foi utilizada uma entrevista semiestruturada para obter as informações, analisadas por meio de análise de conteúdo. Observou-se que os participantes trouxeram informações positivas a respeito do NASF, mostrando como são realizadas as atividades e quais suas funções no grupo. Os resultados apresentados por esta pesquisa apontam que a inserção do PEF é relevante nas equipes NASF, pois representam uma área de conhecimento e intervenção habilitada para desenvolver ações e programas de educação em saúde, sendo a promoção à atividade física e modos de vida saudáveis, parte constituinte deste processo. Porém, foram demonstrados lacunas e desafios a serem enfrentados por PEF no município de São Paulo para a consolidação da sua inserção nessas equipes.
The Family Health Support Nucleus (Núcleo de Apoio à Saúde da Família NASF) was created in 2008 in order to increment the actions of the Family Health Strategy (Estratégia de Saúde da Família ESF) through its integrated co-operation with the healthcare teams and all services networks.. The objective of this study was analyzing the perception of PEF inserted into NASF on the functions and effectiveness of multiprofessional intervention teams in the city of São Paulo. The participants of the study were eight professionals with NASF experience (have worked or currently work in these teams). A semi-structured interview was used to obtain the information, subsequently analyzed through the content analysis methodology. The results show that the professionals positive information about their positions there and the activities of the Nucleus. Also as a result of this research we found that the placement of PEP in the NASF´s teams is relevant as they represent a field of knowledge and intervention qualified to develop actions and programs in health education, being the promotion of the physical activity and healthy life styles a part of this process. However, gaps were found and there are challenges to be faced by PEP in the city of São Paulo in order to consolidate their placement in these teams.