One of the biggest challenges with male breast cancer is that it often flies under the radar. Many men don’t realize they can develop breast cancer, and there are no routine screening guidelines like there are for women.
In fact, more than 40% of male breast cancer cases are diagnosed at later stages (Stage 3 or 4). As a result, men get more aggressive treatments compared with women due to a delay in diagnosis.
The symptoms can be subtle — lumps, nipple discharge, changes in the skin or swelling around the breast area. If you notice any changes in those man boobs, don’t ignore them. It’s always better to get checked.
Comparing male and female breast cancer
Male and female breast cancers share similarities, but there are also some key differences. Because men have less breast tissue, the cancer is often closer to the chest wall, which can affect how it spreads. The five-year survival rate for men with breast cancer is about 77.6%, compared with 86.4% in women, partly due to later diagnoses.
However, the treatments — surgery, radiation, chemotherapy — are largely the same for men and women. The big difference is awareness. There’s been a great job about raising awareness about breast cancer in women, but men are often left out of the conversation. That needs to change.
Examining your man boobs
There are no official guidelines for male breast self-exams, but men can take proactive steps to monitor their breast health through suggested self-exam techniques. It’s advisable to perform these exams at the same time every month — maybe the same time as your monthly testicular exam.
Begin by standing in your birthday suit (aka shirtless) in front of a mirror to inspect for any abnormalities such as swelling, lumps, dimpling or nipple changes, both with arms at your sides and raised overhead. For the manual examination, lie down with a pillow under your shoulder and the arm of the side you’re examining behind your head.
Use the opposite hand to gently press your fingers in small circles across your entire breast area and armpit, applying various pressures, and gently squeeze the nipple to check for discharge.
Remember, these self-exam steps are suggestions to help men identify potential issues early, as such detection can be crucial, especially for those with a higher risk due to family history or genetic factors such as BRCA mutations.
If an abnormality is found, the next steps typically involve a mammogram or ultrasound to assess the lump in detail. If the imaging suggests something suspicious, a biopsy will be done. During a biopsy, the breast tissue is analyzed under a microscope to determine whether it is benign or malignant.
Based on the biopsy findings, your doctor may discuss the appropriate treatment options, which can include surgery, radiation or other therapies, depending on the stage and type of cancer found on biopsy and staging imaging. All these treatments are similar to what is offered females diagnosed with breast cancer.
Breaking gender and mental barriers
There’s an unfortunate stigma attached to men having breast cancer. Many men are embarrassed or shocked by the diagnosis, which can make them hesitant to seek help early on. But cancer doesn’t care about gender, and neither should you. Early detection is the best way to fight this disease, whatever your gender. The key is being open about it.
What men can do proactively
The most important thing men can do is pay attention to their bodies. If you notice any lumps, pain, swelling or changes in your breast or chest area, don’t ignore it. Talk to your doctor. And if you have a family history of breast or prostate cancer, consider genetic testing.
Breast cancer in men is rare, but that doesn’t mean it’s any less serious. By raising awareness during Breast Cancer Awareness Month, breaking down stigmas and encouraging men to talk to their doctors, we can help catch cancer early and help men live longer.