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Sometimes the abnormal growth extends just outside the areola, giving a characteristic ‘dome-shaped’ appearance.

Men who ultimately have a breast cancer diagnosis tend to have tumors of a more advanced stage than women.

A possible reason is that men may ignore the symptoms of breast cancer, or assume that the condition is benign like gynecomastia.

True ‘acinar lobules‘ (berry-like glands) are usually absent.

But in early gynecomastia, sometimes called the ‘florid‘ phase, the breast ducts experience proliferative growth, which also causes a richly vascular (blood delivery) network of connective tissues to develop around them.

Breast cancer in males is uncommon, accounting for less than 0.8% of all breast cancers.

However, there is some evidence to suggest that incidence rates are on the rise.

With ‘pure glandular’ gynecomastia, the only possible treatment is surgical excision of the abnormal breast tissue, which leaves the undesirable cosmetic result of a ‘flat nipple-areola complex’.

Normally, the male breast has only major mammory ducts which almost never branch.

Suprisingly, gynecomastia actually affects about one third of males at some point in their lives.

Sometimes a small percentage of males develop gynecomastia when they reach puberty.

This usually involves an ultrasound and possibly a biopsy.

In elderly men, one of the main causes of gynecomastia is thought to be decreasing testosterone production.