Carcinoma of the male breast

Carcinoma of the male breast

Carcinoma of the male breast ( Figure 58.39 ) accounts for less than 0.5% of cases of breast cancer. The most common symp tom at presentation is a painless subareolar lump. Involvement of the nipple–areolar complex and underlying pectoral muscles occurs early . Treatment comprises mastectomy with a 2-cm margin along with a portion of underlying pectoralis major muscle follow ed by radiotherapy . SLNB should be performed in node-negative patients. Tamoxifen 20 /uni00A0 mg daily for 5 years is recommended for those with ER-positive tumours.