Background/Aim: Until now, little emphasis has been placed on the protein expression profile of male breast cancer (MBC) tumors, due to the rarity of the disease. The present study aimed to identify a proteomic pattern that is characteristic for malignant male breast tissue epithelium. Materials and Methods: The protein content of four male breast tumors and corresponding adjacent healthy (control) tissues was analyzed by high-throughput nano-liquid chromatography-MS/MS technology. Results: A total of 2,352 proteins were identified, that correspond to 1,249 single gene products, with diverse biological roles. Of those, a panel of 119 differentially expressed tissue proteins was identified in MBC samples compared to controls; 90 were found to be over-expressed in MBC tissues, while 29 were downregulated. Concurrently, 844 proteins were detected only in MBC tumors and 197 were expressed exclusively in control mammary samples. Conclusion: Differential proteomic expression was found in MBC tissue, leading to improved understanding of MBC pathology and highlighting the need for personalized management of male patients. Male breast cancer (MBC) is an uncommon disease, accounting for fewer than 1% of all diagnosed breast carcinoma cases (1). The estimates of the American Cancer Society, that predict merely 2,650 new cases of invasive MBC and 530 deaths from the disease in the United States for 2021, indicate its limited impact on male morbidity and mortality (2). Despite the fact that this entity is rare, the incidence of MBC is on the rise over the past two decades (3), attracting increasing interest in terms of deciphering its biology, etiopathogenesis, clinical presentation and unique management. Still, because of the low number of diagnoses, MBC remains understudied, prospective research-based progress is hindered, and decision-making for patients and physicians is based on observational retrospective studies (4, 5).Owning to the scarcity of research in the field, clinical data on the management of MBC are usually extrapolated from trials on its female counterpart; this approach is becoming less and less acceptable due to the inherent discrepancies between the two entities. Characteristically, the largest retrospective collection and pathological review of MBC tumor samples so far, showed a lack of association between histological grading and outcome, which may be linked to the different distribution of disease subtypes in men compared with women (6). For example, men are much more likely to express the estrogen (ER) or androgen (AR) receptors than women, and less likely to over-express HER2 (6, 7). Lobular tumors are also much less frequent in men despite being relatively common in women, whereas most MBC cases are subtyped as either Luminal A-like or Luminal-B-like/HER-2-negative (6, 8). The genomic landscape of the disease further highlights the differences between sexes, with a recent publication reporting less frequent 16q losses, PIK3CA mutations, and TP53 mutations than those seen in ER-positive/HER2-negative...