Breast Cancer in Men

What Are Breast Cancer Risk Factors in Men?

While breast cancer in men is not seen frequently, there are several factors which can increase a man’s risk of getting breast cancer.
  • Getting older. The risk for breast cancer increases with age and most diagnoses are found after age 50
  • Genetic mutations. Just as with women, inherited genetic mutations in certain genes, such as BRCA1 and BRCA2, increase risk
  • Family history of breast cancer. A history of breast cancer in close family members impacts the likelihood of a cancer presenting itself.
  • Radiation therapy treatment. While radiation therapy to the chest area is generally considered quite safe, there are reports of men who have received radiation to the chest of having a higher risk of breast cancer.
  • Hormone therapy treatment. Estrogen-containing medications which were used to treat prostate cancer in the past can increase men’s breast cancer risk.
  • Klinefelter syndrome is a rare genetic condition in which a male has an extra X chromosome. This can lead to the body making higher levels of estrogen and lower levels of androgens (hormones that help develop and maintain male sex characteristics).
  • Certain conditions that affect the testicles. Injury to, swelling in, or surgery to remove the testicles can increase breast cancer risk.
  • Liver disease. Cirrhosis (scarring) of the liver can lower androgen levels and raise estrogen levels in men, increasing the risk of breast cancer.
  • Overweight and obesity. Older men who are overweight or have obesity have a higher risk of getting breast cancer than men at a normal weight.

What types of treatment are used in men?

Men diagnosed with male breast cancer at an early stage have a good chance for a cure. Treatment typically involves surgery to remove the breast tissue involved. Other treatments, such as chemotherapy and radiation therapy, may be recommended based on your particular situation.

What can be done to assess risk?

If there is family history of breast or ovarian cancer, or a known gene mutation such as BRCA1 or BRCA2, physicians may make referral for genetic counseling. Genetic mutations particularly in the BRCA1 and BRCA2 genes can increase the risk of breast cancer, high-grade prostate cancer, and pancreatic cancer.