Male Breast Surgery

Mastectomy (Modifi ed Radical Mastectomy)

Description
General anesthesia is usually used; occasionally local anesthesia and IV sedation
can be used. Male breast cancer accounts for <0.1 % of all cancers in males
and 1 % of all breast cancers. Risk factors include testicular disease, gynecomastia,
increasing age, Jewish ancestry, family history, Klinefelter’s syndrome, and
BRCA-2 genetic mutation. About 4–16 % of all men with breast cancer have the
BRCA-2 mutation.

Modifi ed Radical Mastectomy (Usually Including Axillary Clearance)

Description
General anesthesia is required. The main indication is breast cancer that is not
amenable to breast conservation due to size, location, contraindication to radiation
therapy, local ulceration/extension, the presence of multiple cancers in different
quadrants of one breast, or patient preference. Some patients prefer mastectomy
with or without delayed reconstruction. 

Localization Biopsy of Mammographically Detected Lesions

Description

General anesthesia is usually used, but local anesthesia and IV sedation may be

used. A mammographic or ultrasound image-guided localization and excisional

breast biopsy is indicated for a non-palpable mammographically detected lesions,

architectural distortion, or suspicious microcalcifi cations.