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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, answers questions from a reader about the growing size of his chest after his wife jokingly described it as “man boobs”.

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Transcript
00:00In the month of October, we have to talk about Pink October, which is to do with breast cancer.
00:05But you ask, what has men's health got to do with breast cancer?
00:10Believe it or not, breast cancer also affects men.
00:19Some men is wondering that when they have man boobs, which is basically a medical term called
00:25gynecomastia, is that actually related to breast cancer?
00:30In fact, the answer is no.
00:32Man boobs is purely due to an imbalance in testosterone and estrogen.
00:37And that occurs when a man puts on weight, and then that itself actually causes metabolic
00:42syndrome, and the balance between estrogen and also testosterone has deranged, and then
00:48resulting in man boobs.
00:50That creates excess amount of adipose tissues, but that doesn't contribute towards breast
00:56cancer.
00:57Breast cancer in men happens in 1 in 755, instead of 1 in 8 in women.
01:03So it is rare, but not exceedingly rare, because it still actually affects about 1% of all breast
01:11cancer.
01:12About 3,000 men in the world actually got it, and that constitutes about 500 deaths every
01:18year.
01:18Why is that the case?
01:20Well, the breast cancer in men have worse prognosis.
01:24It's not because it's a different kind of breast cancer, it's actually simply due to
01:29it's presented late.
01:31Because number one, men are ignorant that they might get breast cancer.
01:35Number two, is that they're embarrassed to actually do self-examination.
01:40And number three, because the breast itself is actually significantly less than the actual
01:45women, and the invasion of the cancer into the surrounding tissue is significantly more,
01:52and therefore the spread is a lot faster.
01:55So the risk of breast cancer is the same as women.
01:58So for men and women who has got BRCA genes, that actually can contribute to breast cancer
02:04and also prostate cancer.
02:06It tends to happen between age of 60 to 70.
02:09So therefore, equally as men and women, we ask men who is at risk, especially in the family
02:18history who got breast cancer, to do self-examination.
02:21If you feel a lump, then surgery is necessary.
02:25And for surgery in men, then that doesn't require any reconstruction, and therefore the
02:31recovery is faster.
02:33So equally in men and women, in stage 1 breast cancer, the treatment rate is significantly
02:41better as far as the curative rate.
02:44And that can go up as high as 91 to 95%.
02:48However, when the cancer already spread beyond that, then the survival rate is significantly
02:54lower.
02:55From the pink October, we're moving to the actual Movember November.
03:01So for the whole month of Movember November, we're going to focus on male cancer.
03:07And we're going to start with the cancer that affects younger men, and that is testicular
03:12cancer.
03:13Stay tuned for next week's Putting Dr. G on the Spot.
03:18Us.
03:18I'll be right back.
03:20Be right back.
03:21In the My Linus, you next week's everybody gets health care.
03:24You

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