Removing The Stgma From Male Breast Cancer
- Brian Place, 60, was diagnosed with male breast cancer after finding a lump in his breast back in 2005. Since then his cancer has returned and metastasized to his spine, pelvis, and liver. Now he’s urging other men to get checked for male breast cancer because it’s “not a genderless disease.”
- Men should know their risk factors and not be ashamed if they are diagnosed with male breast cancer.
- Symptoms of male breast cancer can include a lump in the chest or a thickening in the breast tissue, nipple pain, an inverted nipple, discharge from the nipple, which may be clear or bloody, changes to the color or texture of the nipple, and enlarged lymph nodes under the arm. It’s important to note that these symptoms don’t always signify breast cancer, but anyone experiences changes like these should contact their doctor immediately.
- Experts say that treating male breast cancer is largely the same as female breast cancer. While men have some special considerations, treatment options depend greatly on various factors, including the size of the tumor, how far the cancer cells have spread, and biological and genetic factors that may be powering your cancer.
- Treatment options may include surgery, chemotherapy, hormone therapy, radiation therapy and targeted therapy.
Speaking in a recent interview, the operations manager admitted he had “no idea” men could be diagnosed with breast cancer and initially didn’t worry about the lump in his breast, BBC reports.
Read MoreHe warns, “Don’t die of ignorance. This is a genderless disease, check yourself and if you find anything suspicious.
“Get it checked out straight away.”
Additionally, recounted his doctor telling him he must have had the tumor in his breast for about five to six years before being diagnosed with cancer.
Place also initially dismissed the lump in his breast as a cyst following a rugby injury.
The male breast cancer advocate explains, “Blokes, particularly, every single one that you talk to, even on the Men’s VMU (Virtual Meetup) [a support group he recently joined], will tell you that they had no idea that men could get breast cancer.
“Get the message out there, people are less ignorant, and the sooner they catch it, the better quality of life they’re going to have, maybe even a cure.”
He continued, “Men must not be an ostrich and stick their head in the sand… because they really need to get the help when it’s the right time to get the help.”
Helping Patients Cope with a Breast Cancer Diagnosis
For men worried about how they will look after breast cancer surgery and treatment, as Place now has two scars on his chest, he said, as per Express UK, “Once you’ve taken that step to actually go bare-chested on holiday or around the pool or even the back garden, nobody takes a second glance.
“I had that little bit of trepidation that I was not going to be accepted, but quite frankly, it was never a problem.”
The Shock and Awe of Hearing You Have Breast Cancer Men Need to Know About Risks
Understanding Male Breast Cancer
According to the Centers for Disease Control and Prevention, breast cancer in men is rare, but it’s certainly possible. Men should be aware of what may increase their risk for the disease and the symptoms of male breast cancer so that they can detect it early on.
WATCH: Men Get Breast Cancer Too
Approximately 1 out of every 100 breast cancers diagnosed in the United States is discovered in a man, and the most common types of this disease among men are invasive ductal carcinoma and ductal carcinoma in situ (DCIS).
Invasive ductal carcinoma is when “the cancer cells begin in the ducts and then grow outside the ducts into other parts of the breast tissue. Invasive cancer cells can also spread, or metastasize, to other parts of the body,” according to the CDC.
Additionally, ductal carcinoma in situ (DCIS) is “a breast disease that may lead to invasive breast cancer. The cancer cells are only in the lining of the ducts, and have not spread to other tissues in the breast.”
If You Feel Something, Say Something: Men Ignore Symptoms Too Often
Common symptoms of the disease in men include:
- Swelling or a lump in the breast
- Redness or flaky skin in the breast
- Dimpling or irritation of breast skin
- Nipple discharge
- Pulling in of the nipple or discomfort in the nipple area
It’s important to note that these symptoms don’t always signify breast cancer, but anyone experiences changes like these should contact their doctor immediately.
Risk Factors for Male Breast Cancer
A man’s chance of getting diagnosed with breast cancer may increase due to the following factors:
- Aging. Most male breast cancers are found age age 50
- Genetic mutations. Inherited gene mutations, like BRCA1 and BRCA2, can also raise the risk
- Family history. If a man has a close family member with history of the disease, their risk may be heightened
- Radiation therapy treatment. If a man has had radiation therapy to their chest their risk may be higher
- Hormone therapy treatment. Drugs containing the hormone estrogen, which has been used to treat prostate cancer, may also increase a man’s risk
- Klinefelter syndrome. A genetic condition when a male has an extra X chromosome, which heightens estrogen levels and lowers androgen levels
- Liver disease. Scarring of the live, also known as cirrhosis, can also increase risk
- Being overweight or obese. Men who are overweight or struggle with obesity are also at an increased risk
Additional, health conditions that affect a man’s testicles may also lead to a heightened risk of breast cancer and factors like a patient’s race can impact the prognosis.
Five types of standard treatment are used to treat breast cancer in men are:
- Surgery for breast cancer in men mirrors the procedure in women. A modified radical mastectomy removes the whole breast with cancer. The result may involve removing the nipple according to the National Cancer Institute.
- Chemotherapy involves cancer-killing drugs to prevent the cancer cells from growing. Chemo drugs are usually taken orally or intravenously.
- Hormone therapy involves removing hormones or blocking their ability to help cancer cells grow.
- In radiation therapy high-energy beams such as X-rays are aimed at cancer cells to kill them.
- Targeted therapy treatment uses drugs designed to target specific cancer cells.
Treating Breast Cancer
Doctors treating breast cancer seek out markers on your particular cancer to help decide what course of treatment is best for you. That’s because cancer cells may have what are called receptors that help identify the unique features of the cancer.
The three main receptors are the estrogen receptor, the progesterone receptor, and the HER2 receptor. The estrogen and progesterone receptors go together because they are fueled by hormones. Think of the cancer cell as having little hands on the outside of the cell which grab hold of proteins that help it grow. These proteins are sometimes called “ligands.”
An example of a type of ligand that can stimulate a cancer cell is the hormone estrogen. An estrogen receptor-positive breast cancer will be stimulated by estrogen to grow. In this instance, your doctor may offer you treatment to specifically target the estrogen receptor.
Another important receptor to test for is the HER2 receptor. For HER2 positive breast cancers, therapies that uniquely target the HER2 receptor are essential to treating the disease.
What Has Changed For Breast Cancer?
There has been a new classification of some advanced breast cancers called “HER2-low,” which means that women previously classified as HER2-negative could qualify for certain treatments.
Breast cancer cells with higher than normal levels of HER2 are called HER2-positive, found in 15-20% or all breast tumors. While they tend to grow faster, they are much more likely to respond to treatment with drugs that target the HER2 protein.
HER2-low cancers do not meet the threshold for HER2 positive tumors, but they still have a minimal amount of HER2 expression. So with the new grouping, HER2-low patients that may have previously been classified as HER2-negative may have the ability to take advantage of life-changing treatments like Enhertu, which can extend overall survival rates.
There Is Nothing To Be Ashamed Of With Male Breast Cancer
Marc Futterweit is a two-time breast cancer survivor and he knows first-hand that the shame that comes with a diagnosis of male breast cancer can be quite debilitating. The urge to just ignore the symptoms may sway you from getting screened. But Futterweit has become an advocate for the disease, and is now dedicated to halting that way of thinking.
“Men are basically standing in the shadows,” Futterweit says. “They’re ashamed or embarrassed this is a woman’s disease. [But] why can’t men get breast cancer?”
WATCH: Marc Futterweit Shares His Breast Cancer Journey
Related: Iowa Priest Battles Male Breast Cancer and Lives by Tom Petty’s Lyrics: “I Won’t Back Down”
That’s why Futterweit’s philosophy is “if you feel something, say something.”He detected his own cancer when he felt an odd lump on his chest during a shower. He admits, he was baffled when his doctor suggested he get a mammogram, but in reality, it probably saved his life. “The problem with men is that they wait, and they think things are going to go away,” Futterweit says. “Once they’re diagnosed, sometimes it’s too late.”
Questions for Your Doctor
If you are facing a breast cancer diagnosis whether you’re a man or a woman, here are some questions you can ask your doctor to learn more about it.
- What kind of breast cancer do I have?
- Has the cancer spread to other parts of the body?
- What stage is my cancer in?
- What other tests should I seek out to better understand the cancer before deciding on treatment?
- What are your treatment recommendations and their likely side effects?
- What other doctors can give me additional opinions?
Contributing: SurvivorNet Staff
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