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Care for individual needs · 45

Breast Cancer in the Male Patient

Men can develop breast cancer too; a lump or nipple change deserves prompt assessment.

Care for individual needs — conceptual illustration

The key things to know

  • Breast cancer also affects men.
  • Genetic counselling deserves a clear discussion.

Changes that deserve assessment

Possible signs include a lump near the nipple, nipple pulling-in, bloody discharge, skin changes or an underarm lump. Many benign conditions can cause changes, including gynaecomastia, but guessing is unreliable. Assessment involves examination, imaging and sometimes a biopsy.

Treatment planning

Stage, receptor status and general health guide treatment, with individual considerations. Surgery, lymph-node assessment, radiotherapy and systemic medicines may be used. Breast conservation can be an option for selected men who meet appropriate criteria; there is no identical pathway for every case.

Hormones and inherited risk

Many male breast cancers are hormone-receptor positive, making endocrine treatment relevant. Discuss sexual side effects, mood and adherence openly. Genetic counselling and testing should be considered, as results can matter for the patient and both male and female relatives.

Support that includes men

Men may feel isolated when services and information focus on women. Ask for support that reflects your experience and private time to discuss body image or relationships. Keep a follow-up plan and report new lumps or symptoms without letting embarrassment delay care.

Take these questions to your appointment

  • What do my receptor results mean for treatment?
  • Could my relatives benefit from genetic advice?
Arrange a conversation

Sources & review

This is original educational content based on the sources below, not reproduced textbook material. Website supervisor: Dr. Nizar Ismail. Individual medical review of this article is pending.

  1. NCI — Male Breast Cancer Treatment (PDQ) ↗
  2. ASCO — Management of Male Breast Cancer Guideline ↗

This information cannot replace diagnosis or a personal treatment plan. Consult your care team about symptoms or decisions about your treatment.

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