Results -Almost 1000 genes were found differentially expressed (FDR<1%) between female and male patients and biological interpretation highlighted a gender associated modulation of key biological processes ranging from energy metabolism to regulation of translation and matrix remodeling as well as immune system recruitment. Moreover, an analysis of genes correlated to steroid receptors and ERBB2 suggested a prominent role for the androgen receptor in MBC with a minor relevance for progesterone receptor and ERBB2, although, similarly to FBC, a genomic amplification could be observed.Conclusions -Our findings support the idea that breast cancer is a quite different disease in male and female patients and the underlying gender related biological differences are likely to have clinical implications connected with different susceptibility to treatment.3