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.
KeywordsNational Comprehensive Cancer Network National Comprehensive Cancer Network Male Breast Cancer Veteran Administration Male Breast Cancer Patient
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