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Men get breast cancer too

Around 1 in every 100 breast cancers is found in a man. That’s a small number, but a real one. If something doesn’t feel right, take it seriously, and don’t let embarrassment keep you away from the doctor.

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Photo: Vitaly Gariev
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Noticed a change? A lump, a thickening, dimpled skin around the nipple, or a nipple that has turned inwards: book a GP appointment this week. Don’t wait, and don’t assume it’s nothing because you’re a man.

What to look out for

The signs in men are very similar to those in women. The most common is a painless lump near the nipple. You might also notice:

  • a nipple that turns inwards
  • discharge from the nipple, sometimes with blood in it
  • a sore or ulcer on the nipple that doesn’t heal
  • a rash on or around the nipple
  • a swelling in the armpit
  • hardened skin on the chest, especially near the nipple

Who is at higher risk?

Most breast cancer in men is found between the ages of 60 and 70. Your risk is higher if you have:

  • a family history of breast cancer, especially BRCA1 or BRCA2 gene changes
  • liver conditions or hormone imbalances
  • had radiotherapy to the chest before
  • Klinefelter syndrome

If any of these apply to you, mention it to your GP. They may suggest earlier checks or a referral to a genetics service.

What happens at the GP?

They’ll examine you and, if there’s any concern, refer you to the breast clinic. You’ll usually have an ultrasound, possibly a mammogram, and a needle biopsy if needed. It’s the same pathway as for anyone else.

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Photo: Christopher Moreno-Stokoe

If it is cancer

Treatment is broadly the same as for women: surgery (usually a mastectomy, because there’s less breast tissue), often followed by radiotherapy, hormone therapy and sometimes chemotherapy.

The emotional side can be different. Many men feel isolated, because they’re often the only man in the waiting room, on the leaflets and in the support groups. We’ve supported men in Gibraltar through diagnosis and treatment, and we can put you in touch with another man who has been through it. It’s confidential.

Call 5800 8944