Fifty consecutive cases of male breast cancer (MBC) treated in a singl
e institution were studied. Presentation of the disease, histology, pa
ttern of relapse, and major prognostic factors were similar to those k
nown in female breast cancer (FBC). Five-year disease-free interval an
d survival were 59% and 75% respectively. Endocrine therapy for treatm
ent of metastatic MBC was proven to be effective with a response rate
of about 50% of patients, unselected with regard to oestrogen receptor
s. A group of patients receiving adjuvant treatment showed lower recur
rence rate and a trend toward better outcome than similar stage patien
ts without adjuvant treatment. The present study combined with the rec
ent literature suggests that MBC and FBC are biologically comparable a
nd that inference from experience in treatment of FBC may be justified
.