Clinical features

Presentation of breast cancer in men tends to be with more advanced disease (than in women) (1)

• majority presents as a painless mass in the subareola position.
  • the male breast disc can be asymmetric and in malignancy as the mass increases in size it can present away from the nipple-areola complex
    
    
• changes in the nipple-areola complex such as:
  • nipple retraction
  • nipple inversion
  • nipple ulceration
  • or a rash
    
    
• blood-stained nipple discharge or serous nipple discharge can be associated in this condition
  
  
• changes to the nipple that requires specialist referral are:
  • alteration of skin contour
  • shape
  • or any projections
    
    
• breast pain or itching are less commonly occurring in this condition
  
  
• axillary lymphadenopathy

Reference:

• (1) Giordano SH.Male breast cancer: it's time for evidence instead of extrapolation. Onkologie. 2008;31(10):505-6
• (2) Gui, G. Male breast cancer: aetiology and clinical features. Trends in Urology & Men's Health 2012 ;3: 29–31