Out of every 1,000 American males, one will develop breast cancer. According to the American Cancer Society, there are five major types of breast cancer found in men: infiltrating (invasive) ductal carcinoma, ductal carcinoma in situ (early, non-invasive), infiltrating lobular carcinoma, Paget's disease of the nipple and lobular carcinoma in situ. Breast cancer can occur in both breasts at once; this is a manifestation found in many male breast cancer patients.
Below are symptoms for the various types of male breast cancer. Breast cancer most often strikes men ages 60 to 70. All adult males should be on the alert for it. A monthly self-examination can help you find cancer while it is in an early, more curable stage.
Lump in Breast
The most common symptom of male breast cancer is a firm, painless mass. It is often found below the nipple, but can be anywhere in the breast. It is frequently an inch in diameter when first noticed. This symptom can occur in infiltrating ductal carcinoma, ductal carcinoma in situ, infiltrating lobular carcinoma and lobular carcinoma in situ.
Ulceration of the Nipple or Areola
In Paget's disease, the skin of the nipple or surrounding areola may become ulcerated.
Nipple Retraction
The nipple may retract or turn inward. This symptom may occur in infiltrating lobular carcinoma.
Nipple or Areola Inflammation
The nipple or the area surrounding it may become reddened or scaly. This inflammation may or may not be painful. This is a frequent symptom of Paget's disease of the nipple.
Dimpling or Puckering of the Breast Skin, Areola or Nipple
The skin of the breast, the areola, or occasionally the nipple, may become puckered or have a dimpled look. This symptom may occur in infiltrating lobular carcinoma.
Nipple Discharge
Another frequent symptom of Paget's disease is discharge from the nipple. This discharge may be clear, cloudy or bloody.
Enlarged Lymph Nodes under Arm
Breast cancer can lead to lymph node swelling in the axilla area (under the arm). This is a common occurrence in infiltrating ductal carcinoma and infiltrating lobular carcinoma.
Advanced Signs
Bone pain can be a sign that advanced breast cancer has metastasized to the bones. Other symptoms of advanced male breast cancer include weakness, tiredness and weight loss. These symptoms may occur in infiltrating ductal and infiltrating lobular carcinomas.
What to Do if You Have One or More Signs
If you notice a lump in your breast or any other sign of male breast cancer, promptly make an appointment with your primary care provider for an examination. He will conduct a physical exam and may order a mammogram, biopsy or other diagnostic tests. If cancer is found, you will be referred to an oncologist for treatment.
