He an unlikely breast cancer survivor -- because he is a man. But still he developed the disease that roughly 1,700 men will contract this year. And while that statistics pertaining to women and men with breast cancer differ -- women are 100 times more likely to get the disease -- the biology of the disease is exactly the same. Under the microscope, breast cancer is breast cancer. It does not behave any differently in female and male bodies. And detection, treatment, and survival rates are nearly identical for both sexes.

Bob Riter, 49, was diagnosed with breast cancer in 1996. Now in remission, he works as the associate director of the Ithaca Breast Cancer Alliance in New York where he speaks out and educates the public about this widespread disease. He believes his personal story, with its different twist, prompts people to really listen.

Riter's audiences learn that breast cancer in men usually presents itself as a lump in the chest, dimpling of the skin, or changes in the nipple. Doctors can perform breast exams, mammography, and biopsy to investigate the possibility of the cancer that typically strikes men between the ages of 60 and 70. Treatment includes mastectomy to remove the tumor and surrounding lymph nodes, chemotherapy, radiation, and hormone therapy.

It was the presence of blood coming from his nipple that sent Riter to his doctor -- and then to a surgeon who declared a diagnosis of breast cancer. Riter is somewhat of an exception because he reported to his doctor immediately. Most men do not. Many do not even realize they are at risk of breast cancer so they ignore symptoms. They also may go underground with their suspicions of breast cancer because of embarrassment. Both can lead to diagnoses of more advanced diseases.

Riter is doing his part to enlighten both men and women that men are not immune to breast cancer, that they should be active in monitoring their breast health. "I really like to go to national breast cancer meetings," he says, "because a lot of people know that men get breast cancer in theory, but until you have a face to associate with it, it's fairly abstract. And so I'm sort of that face."

Erin Brockovich-Ellis traveled to Ithaca to tell local homeowners she thinks they have a strong legal case against Emerson Power Transmission for damages resulting from the plant's contamination of the area with the industrial solvent, trichloroethylene, or TCE, a potentially potent carcinogen. It seeps into groundwater. According to Brockovich-Ellis, "the residents are not dealing with a rinky-dink amount of TCE," and went on to indicate that the TCE numbers are some of the highest she has ever seen. A spokesperson for Emerson is quoted as saying that the company was not aware of any lawsuit and had no comment. They might not have a comment but I seriously doubt they are unaware of the potential lawsuit or the arrival of Brockovich-Ellis.

Neither a lawyer or scientist, she has become legendary for her activism and work regarding environmental issues related to cancer incidence. What made her famous was the curious, relentless, tenacious, and fearlessness of her pursuit in exposing the truth of the incident involving Pacific Gas and Electric who had been knowingly exposing residents groundwater to the cancer-causing agent chromium 6 and the cancer deaths that followed. Like I said, because of who she is and the reputation that precedes her, I have difficulty believing the Emerson spokesperson when he states they are not even aware of the arrival of Brockovich-Ellis and the lawsuit her firm is interested in taking on against the company.

In an earlier post, TCE: groundwater contamination in toxic triangle of cancer, we shared a story about residents in Texas who plant small purple crosses in the front lawns of those who have been diagnosed with cancer. They believe they have been poisoned by the TCE that was dumped at a military base for decades and subsequently spread for miles through a shallow aquifer under the 22,000 nearby homes where they live.