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gery and also might include chemo- therapy and/or hormonal therapy, all of which can be painful and phys- ically draining. It also can be costly.


Risk factors A variety of factors can increase a man’s risk of developing breast can- cer, the most common being gyneco- mastia, a condition characterized by the swelling of breast tissue in boys and men. Most cases of gynecomas- tia are caused by an imbalance in the hormones estrogen and testoster- one, which can result from obesity, medication, or abnormal pituitary function, Sugarman notes. A family history of breast cancer also can increase a man’s risk. In fact,


58 MILITARY OFFICER OCTOBER 2016


one in five men with breast cancer have a close male or female relative with the disease, reports the American Cancer Society. Equally concerning is a muta- tion in the BRCA2 gene, which has a lifetime risk of about six in 100. BRCA1 mutations also can cause breast cancer in men, but the risk is much lower. A family history of cancer led Thibodeau to find out that he carried the BRCA2 mutation. Upon learning that Thibodeau’s mother and ma- ternal grandmother both had been treated for ovarian cancer and that his brother had passed away two years earlier from esophageal can- cer, his care team arranged for him to undergo genetic testing. It came back positive for BRCA2.


Gal Profesorsky of Cary, N.C., was diagnosed at age 42 with an early form of breast cancer known as ductal car- cinoma in situ. He also had lost several family members to various forms of cancer, including his 24-year-old sister and 61-year-old grandfather. “But until my diagnosis, I had no expectation of developing breast cancer,” he says. Other factors that increase the risk


of male breast cancer include radiation exposure to the chest, such as from treatment for other forms of cancer; liver disease; estrogen treatment, such as for prostate cancer; heavy alcohol consumption; and age. The majority of breast cancer cases are diagnosed in men between the ages of 60 and 70. “Breast cancer is very uncommon


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