1) A retrospective study analyzed 40 male patients with breast cancer treated between 2011-2021 at a Bucharest oncology institute to examine relationships between immunohistochemical markers, disease-free survival, and overall survival. 2) At presentation, 40% of patients had stage I invasive grade 2 tumors that were estrogen receptor and progesterone receptor positive, HER2 negative, and had high ki-67 levels (>50%). 3) Family history, high ki-67 levels, negative progesterone expression, diabetes, high BMI, and gynecomastia were associated with shorter disease-free and overall survival compared to other patients. Randomized controlled trials of both sexes are needed to better inform treatment guidelines for male breast cancer.