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Early Signs And Symptoms Of Male Breast Cancer

People have this preconceived notion that males cannot have breast cancer

The fact is male breast cancer accounts for 1-2 per cent of all breast cancer cases in India, making awareness and early detection vital.

Understanding male breast cancer

Males do have breasts as one of their organs (although smaller than most females!) and are also susceptible to developing cancer. Unfortunately, most men remain ignorant about this crucial fact and tend to overlook potential symptoms. Hence, most male breast cancers are diagnosed at an advanced stage, making treatment more challenging and outcomes less favorable. Awareness and education about male breast cancer can help dispel myths, encourage self-examinations, and foster timely medical consultations. By spreading accurate information, we can empower individuals with the knowledge necessary for early diagnosis, improving survival rates and saving countless lives.

Importance of self-examination

Unlike women, men don't have routine mammography screening programs. Therefore, self-examination becomes crucial. Key points to remember:

● Males rarely develop fibroadenomas (common benign tumors in women)

● Any breast lump in men should be treated with suspicion

● Even seemingly benign-looking lumps can be malignant in men

● Don't ignore firm, immovable, painless lumps

Warning signs to watch for

1. Breast changes:

o Any kind of lumps or skin thickening

o Changes in skin color

o Skin ulcers or dimpling

o Breast asymmetry

o Increased breast size

2. Nipple changes:

o Any discharge

o Nipple retraction

3. Armpit changes:

o Lumps under the arms

o Swelling in armpits (where breast lymphatic drainage occurs)

Risk factors

● Age: Most common in 60-70 years

● Family history

● BRCA 1 & 2 gene mutations

● Liver disease

● Obesity

● Hormone therapy treatments

Understanding Gynecomastia

Gynecomastia, the benign enlargement of male breasts (either one or both sides), is common in men, especially at older age due to hormonal changes. However, any breast enlargement, whether accompanied by pain, tenderness, or lumps, should be promptly evaluated by a healthcare professional to rule out underlying conditions, including cancer. Timely diagnosis not only ensures proper management of gynecomastia but also increases the chances of detecting and treating breast cancer at an early, more curable stage. Raising awareness about this issue can help men seek medical advice without hesitation, reducing potential health risks.

Diagnostic approaches

If breast cancer is suspected, several diagnostic tools are available:

● Mammography

● Ultrasound

● Biopsy

● Genetic testing

While male breast cancer is rare, awareness saves lives. Men shouldn't feel embarrassed about seeking medical advice for breast-related concerns. Regular self-examination, combined with knowledge of family history and potential risk factors, and prompt medical consultation for any changes, can lead to early detection, improved treatment outcomes, and increased survival rates. Open conversations about male breast health can also help reduce stigma and encourage proactive health monitoring among men of all ages.

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Dr. Namrata Singal Sawant

Guest Author Director and Senior Consultant Breast Radiologist, Vcare Imaging Diagnostic Centre, Mumbai

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