While it is the most common malignancy in women, breast cancer is rare in men and thus often ignored or overlooked, which leads to delayed diagnosis for the already fulminant condition. Bone is the most common location for metastasis from breast cancer, and there is a particular affinity for the spine. Despite the high incidence of spinal metastasis from breast cancer, only around 10 cases of breast cancer with spinal secondaries in male patients have been reported. Management of spinal metastases is palliative, with treatment aimed at restoring or preserving neurological function and relief of symptoms such as pain and incontinence. Here we report the case of a male patient with breast cancer and extensive metastasis to the axial skeleton and review the relevant literature.

Keywords: Breast Cancer; Male Breast Cancer; Spinal Metastases.