@Blossom1961, I think that unfortunately it could happen anywhere from metropolitan to remote areas. And remember, just because someone is in the city doesn't always mean they're referred to a "better" specialist.
And in preaching to the choir, men are proportionately more likely to have advanced cancer at diagnosis, and/or die from their disease, either because they themselves don't think it can happen, or because they get a brush off from doctors.
Peter, I appreciate the work that you do to raise the profile of Men's breast cancer