What is the role of surgery in the treatment of male breast cancer?

Updated: Feb 11, 2021
  • Author: Bagi RP Jana, MD, MBA, MHA, FACP; Chief Editor: John V Kiluk, MD, FACS  more...
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The general principles of surgical management of male breast cancer are similar to those of breast cancer in women. Simple mastectomy remains the usual choice for T1 and T2 breast tumors. Nipple- and skin-sparing mastectomy are common in women, but generally not practiced in male breast cancer. Cosmetic outcomes are of secondary concern, but where feasible, surgeries with better cosmetic outcomes can be considered in men as well.

Retrospective studies indicate that breast-conserving surgery can be performed in carefully selected patients. [10] Male breast cancer patients who present with locally advanced tumors (ie, T3, T4) can be offered therapy similar to that for locally advanced breast cancer in women, with neoadjuvant chemotherapy followed by surgical resection.

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