Breast cancer in men: let’s break the silence together

When most people hear about breast cancer, they typically think of women. However, the question “Can men get breast cancer?” has a clear answer: yes, they can. Although it’s rare, with less than 1% of breast cancer cases being in males, it is a serious condition that deserves greater awareness and attention.

What are the signs of male breast cancer?

The symptoms of breast cancer in men are similar to those in women. Early signs to watch for include:

1. A lump or thickening in the breast tissue
2. Changes in the skin around the breast, such as dimpling, puckering, or redness
3. Nipple changes, including redness, scaling, or discharge
4. Nipple inversion (the nipple turning inward)

These signs should never be ignored, and any changes in the chest area should prompt a visit to the doctor.

Causes and risk factors

While the exact causes of male breast cancer are not fully understood, several factors increase the risk:

1. Age: The likelihood of developing breast cancer increases with age, especially after 60.
2. Family History: Men with a family history of breast cancer are at higher risk, particularly if relatives carry certain gene mutations.
3. Genetic Mutations: Mutations in the BRCA1 and BRCA2 genes, that play an important role in DNA repairment, significantly raise the risk of breast cancer.
4. Hormonal Imbalances: Conditions that alter hormone levels, like Klinefelter syndrome, can increase the risk.
5. Liver Disease: Liver conditions can affect hormone production, raising the risk of breast cancer.
6. Obesity: Excess body fat increases estrogen levels, which can promote the development of breast cancer.
7. Radiation Exposure: Previous radiation treatment to the chest area increases risk.

Diagnosing male breast cancer: what are the steps?

If you notice any changes in your chest or breast area, it’s crucial to seek medical attention promptly. Diagnosing male breast cancer typically involves a three-step process. First, a healthcare provider will perform a physical examination of the chest and breast area. Next, imaging tests such as a mammogram or ultrasound may be ordered to get a clearer picture of the breast tissue. Finally, if an abnormality is detected, a biopsy will be performed to determine whether the tissue is cancerous. This involves removing a small sample of tissue for examination under a microscope.

Treatment options for male breast cancer

Once breast cancer was diagnosed, it is time to discuss treatment options. Those are similar to the treatments for female breast cancer and may include:

1. Surgery (mastectomy to remove the entire breast or lumpectomy to remove the part of the breast where a malignant or benign tumour has been located).
2. Radiation therapy
3. Chemotherapy
4. Hormone therapy (which can be highly effective, as many male breast cancers are hormone-receptor-positive)
5. Targeted therapies that focus on specific genetic factors of the cancer

Survival rates and living with breast cancer

Survival rates for male breast cancer have improved over time. When detected early, the 5-year survival rate for localized male breast cancer is about 96%. However, men are often diagnosed at more advanced stages than women, due to lack of regular screenings, which can negatively impact their prognosis.

On top of that, receiving a breast cancer diagnosis can be particularly isolating for men, who may feel embarrassed or stigmatized. Support groups specifically for male breast cancer patients can offer emotional support and practical advice, helping men cope with the challenges of their diagnosis.

💡 Male vs. female breast cancer: Key differences

While male and female breast cancers share similarities, there are important differences:

1. Men tend to be diagnosed at an older age than women.
2. Male breast cancers are more likely to be estrogen receptor-positive.
3. Men have less breast tissue, which makes it easier for cancer to spread to surrounding areas like the chest wall.

Prevention and awareness of men breast cancer

Though breast cancer in men cannot always be prevented, certain lifestyle choices can help reduce the risk:

• Maintain a healthy weight
• Limit alcohol consumption
• Stay physically active
• Know your family history and consider genetic counseling if necessary

The future of male breast cancer research

Research into male breast cancer continues to evolve, with scientists focusing on improving treatment options and better understanding the unique aspects of the disease in men. Early detection remains key, so it’s important for men to be aware of changes in their chest area and seek prompt medical attention if anything unusual occurs.

By raising awareness and breaking the silence surrounding breast cancer in men, we can ensure better outcomes and provide the support necessary for those affected.