• Ian Fentiman


With a relatively small body of evidence, conclusions concerning the psychological aspects of MBC need to be tentative. Few men consider themselves as increased risk but those who have BRCA mutations may suffer guilt and isolation. The main reasons for seeking genetic testing concerns risk for other family members. Despite recommended criteria for testing only a quarter of eligible cases are referred. It appears that levels of anxiety and depression following diagnosis of breast cancer are substantially lower in men than in women. High levels of cancer-specific distress occur in a quarter of cases. Compared with FBC patients, males report higher scores in terms of physical function, role function, pain, energy, sociability, and mental health but in relation to the general male population suffer significantly worse psychological and physical function. Males may feel isolated and unable to obtain the relevant information from those who are caring for them in the breast team. The internet does have several websites dealing with MBC issues but this cannot replace the need for good communication at a personal and local level.


National Comprehensive Cancer Network National Comprehensive Cancer Network Male Breast Cancer Veteran Administration Male Breast Cancer Patient 
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  1. 1.
    Liede A, Metcalfe K, Hanna D, Hoodfar E, Snyder C, et al. Evaluation of the needs of male carriers of mutations in BRCA1 or BRCA2 who have undergone genetic counselling. Am J Hum Genet. 2000;67:1494–504.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Strømsvik N, Råheim M, Oyen N, Engebretsen LF, Gjengedal E. Stigmatization and male identity: Norwegian males’ experience after identification as BRCA1/2 mutation carriers. J Genet Couns. 2010;19:360–70.CrossRefPubMedGoogle Scholar
  3. 3.
    Hallowell N, Arden-Jones A, Eeles R, Foster C, Lucassen A, et al. Guilt, blame and responsibility: men’s understanding of their role in the transmission of BRCA1/2 mutations within their family. Sociol Health Illn. 2006;28:969–88.CrossRefPubMedGoogle Scholar
  4. 4.
    Al-Naggar RA, Al-Naggar DH. Perceptions and opinions about male breast cancer and male breast self-examination: a qualitative study. Asian Pac J Cancer Prev. 2012;13:243–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Hesse-Biber S, An C. Within-gender differences in medical decision making among male carriers of the BRCA genetic mutation for hereditary breast cancer. Am J Mens Health. 2015. pii: 1557988315610806. [Epub ahead of print].Google Scholar
  6. 6.
    Chun DS, Berse B, Venne VL, DuVall SL, Filipski KK, et al. BRCA testing within the Department of Veterans Affairs: concordance with clinical practice guidelines. Fam Cancer. 2016. [Epub ahead of print].Google Scholar
  7. 7.
    FranceL MIS, Barrett-Lee P, Brain K, Harper P, Gray J. Male cancer: a qualitative study of male breast cancer. The Breast. 2000;9:343–8.CrossRefGoogle Scholar
  8. 8.
    Williams BG, Iredale R, Brain K, France E, Barrett-Lee P, Gray J. Experiences of men with breast cancer: an exploratory focus group study. Br J Cancer. 2003;89:1834–6.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Brain K, Williams B, Iredale R, France L, Gray J. Psychological distress in men with breast cancer. J Clin Oncol. 2006;24:95–101.CrossRefPubMedGoogle Scholar
  10. 10.
    Smolin Y, Massie MJ. Male breast cancer: a review of the literature and a case report. Psychosomatics. 2002;43:326–30.CrossRefPubMedGoogle Scholar
  11. 11.
    Donovan T, Flynn M. What makes a man a man? The lived experience of male breast cancer. Cancer Nurs. 2007;30:464–70.CrossRefPubMedGoogle Scholar
  12. 12.
    Andrykowski MA. Physical and mental health status and health behaviors in male breast cancer survivors: a national, population-based, case-control study. Psychooncology. 2012;21:927–34.CrossRefPubMedGoogle Scholar
  13. 13.
    Ruddy KJ, Giobbie-Hurder A, Giordano SH, Goldfarb S, Kereakoglow S, et al. Quality of life and symptoms in male breast cancer survivors. Breast. 2013;22:197–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Farrell E, Borstelmann N, Meyer F, Partridge A, Winer E, Ruddy K. Male breast cancer networking and telephone support group: a model for supporting a unique population. Psychooncology. 2014;23:956–8.CrossRefPubMedGoogle Scholar
  15. 15.
    Kipling M, Jane EM, Ralph JEM, Callanan K. Psychological impact of male breast disorders: literature review and survey results. Breast Care (Basel). 2014;9:29–33.CrossRefGoogle Scholar
  16. 16.
    Quincey K, Williamson I, Winstanley S. ‘Marginalised malignancies’: a qualitative synthesis of men's accounts of living with breast cancer. Soc Sci Med. 2016;149:17–25.CrossRefPubMedGoogle Scholar
  17. 17.
    Rayne S, Schnippel K, Thomson J, Reid J, Benn C. Male breast cancer has limited effect on survivor’s perceptions of their own masculinity: a record review and telephone survey of patients in Johannesburg, South Africa. Am J Mens Health. 2016. pii: 1557988316631512. [Epub ahead of print].Google Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Ian Fentiman
    • 1
  1. 1.Research OncologyGuy’s HospitalLondonUnited Kingdom

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