Male Breast Cancer: A Comprehensive Guide

Understanding, Detecting, and Treating Breast Cancer in Men

Oncology

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Last updated: Mar 24, 2025

Overview

Breast cancer isn't just a woman's disease. Although rare, men can develop breast cancer too. Approximately 1% of all breast cancer cases occur in men, with about 2,700 new cases diagnosed annually in the United States.

Risk Factors

  • Age: Most common in men between 60-70 years
  • Family history of breast cancer
  • Genetic mutations, especially BRCA2
  • Elevated estrogen levels
  • Klinefelter syndrome
  • Liver disease
  • Obesity

Signs and Symptoms

Common Warning Signs:

  • Painless lump in breast tissue
  • Nipple changes or discharge
  • Skin dimpling or puckering
  • Nipple retraction
  • Redness or scaling of breast skin

Diagnosis

  1. Physical examination
  2. Mammogram
  3. Ultrasound
  4. Biopsy
  5. Genetic testing when appropriate

Treatment Options

Primary Treatments

  • Surgery: Usually mastectomy
  • Radiation therapy
  • Chemotherapy

Hormone Therapy

  • Tamoxifen (most common)
  • Aromatase inhibitors

Prognosis and Survival

Prognosis depends on:

  • Stage at diagnosis
  • Type of breast cancer
  • Response to treatment

Prevention and Screening

  • Regular self-examination
  • Report changes promptly
  • Maintain healthy weight
  • Limit alcohol consumption

Support Resources

  • Support groups
  • Counseling services
  • Educational resources
  • Patient advocacy organizations

When to See a Doctor

Seek medical attention if you notice:

  • Any new breast mass
  • Changes in breast appearance
  • Nipple discharge
  • Skin changes

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