Breast cancer in men is a rare condition affecting only 1,000 men each
year in the United States. Hormonal, genetic, and perhaps environment
al factors appear to be important in development of the disease. Clini
cally, breast cancer in men resembles that seen in woman. Histological
ly the diseases are indistinguishable, although lobular cancer is rare
in men. Tumors from men are more likely to be estrogen-receptor posit
ive. Treatment strategies draw from experience in women and usually be
gin with surgical removal of the tumor. Additional modalities often in
clude hormonal, radiation, and cytotoxic therapies. The prognosis corr
ected for age and stage is similar to that of women. The study of brea
st cancer in men may provide new insights into epidemiologic and patho
genic factors that affect both sexes.