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Breast Cancer in Men

WHAT YOU NEED TO KNOW:

What do I need to know about breast cancer?

Breast cancer in men usually starts in a duct. You may feel uncomfortable about talking to your healthcare provider if you notice changes or problems in your breasts. It is important to have changes and problems checked. Breast cancer is less common in men than in women, but men can get breast cancer. Breast cancer found early is easier to treat.

What increases my risk for breast cancer?

  • Age 60 years or older
  • Genes such as BRCA2, BRCA1, or mutations in other genes
  • Klinefelter syndrome
  • Estrogen treatment
  • Exposure to radiation, such as from cancer treatment in your chest
  • Family history of breast cancer
  • Large amounts of high-fat foods
  • Overweight or obesity, or lack of physical activity
  • Smoking cigarettes, heavy alcohol use, or liver disease such as cirrhosis
  • Certain testicle problems, such as a testicle that did not descend, or surgical removal of one or both testicles

What are the signs and symptoms of breast cancer?

  • Swelling or a lump in your breast that is usually not painful
  • Blood or clear discharge from your nipple
  • Skin that is dimpled like an orange peel
  • Nipple that looks like it has been pushed in
  • Red or scaling skin on your nipple or breast
  • Swollen lymph nodes under your arm or near your collarbone

How is breast cancer diagnosed?

Tell your healthcare provider if you have a family history of breast or ovarian cancer, or other cancer. Also tell him or her about any medical conditions you have or medicines you are currently taking. All of this information can help your provider rule out other medical problems. He or she will examine your breasts and feel for lumps. He or she will look for any dimpled, red, or peeling skin, or problems with either nipple. You may also need the following tests:

  • An ultrasound or MRI may show cysts (fluid-filled pockets) or tumors in your breast. You may be given contrast liquid to help the tumors show up better. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid. Do not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if you have any metal in or on your body.
  • A fluid discharge test is used to check any fluid coming from your nipple to see if it contains cancer cells.
  • A biopsy is a procedure used to remove part or all of the tumor. The tissue is tested for cancer, the type of cancer it is, and if it responds to hormones.
  • A mammogram is an x-ray of your breasts. The pictures may show lumps that are too small to feel during a breast exam.

How is breast cancer treated?

  • Surgery is the most common treatment of breast cancer in men. Surgery may be used to remove your breast tissue. You may also need to have one or more lymph nodes removed. Ask your healthcare provider for more information about surgery for breast cancer in men.
  • Radiation therapy uses high-energy x-ray beams to kill cancer cells.
  • Chemotherapy medicines are used to kill cancer cells. You may receive one medicine or a combination of medicines.
  • Targeted therapy is medicine that finds markers on some cancer cells and kills the cells.
  • Hormone medicine may be used if the cancer is sensitive to hormones.

What can I do to manage breast cancer?

  • Maintain a healthy weight. Extra body weight increases the risk for new or returning breast cancer. Ask your healthcare provider what a healthy weight is for you. He or she can help you create a safe weight loss plan, if needed.
  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Ask if you need to be on a special diet.
  • Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you. Drink extra liquids to prevent dehydration. You will also need to replace fluid if you are vomiting or have diarrhea from cancer treatments.
  • Exercise as directed. Ask your oncologist about the best exercise plan for you. Exercise may help to decrease the side effects of treatment, such as nausea, vomiting, and weakness. It may also help improve your mood. Stop exercising if you feel pain in your chest, have trouble breathing, or feel dizzy. Do not exercise if you have a fever or if you had anticancer medicines through an IV in the last 24 hours
    Walking for Exercise
  • Do not smoke. Nicotine can damage blood vessels and make it more difficult to manage breast cancer. Smoking also increases your risk for new or returning cancer and delays healing after treatment. Do not use e-cigarettes or smokeless tobacco in place of cigarettes or to help you quit. They still contain nicotine. Ask your healthcare provider for information if you currently smoke and need help quitting.
  • Limit or do not drink alcohol as directed. Your oncologist may tell you to limit or not drink alcohol. Alcohol increases the risk for new or returning breast cancer. If you choose to drink, limit alcohol to 1 drink per day. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1½ ounces of liquor.
  • Ask about breast self-exams. You can check your breasts for lumps and other changes every month. Contact your oncologist if you notice any breast changes. Ask for more information about how to do breast self-exams.
    Breast Self-exam
  • Have mammograms as directed. Mammograms may be recommended if your risk for breast cancer is high. You may need a mammogram every 6 to 12 months. Ask if and how often you need a mammogram.

Call your local emergency department (911 in the US) if:

  • You have chest pain when you take a deep breath or cough.
  • You suddenly feel lightheaded or short of breath.
  • You cough up blood.

When should I seek immediate care?

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

When should I call my doctor or oncologist?

  • You have a fever.
  • You have any new or different pain.
  • You are vomiting and cannot keep food or liquids down.
  • You are depressed or feel that you cannot cope with your illness.
  • You have questions or concerns about your condition or care.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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