express gazette logo
The Express Gazette
Saturday, October 3, 2026

Man Discovers Breast Cancer After Friend's Nipple Twist on Vegas Vacation

A seemingly minor playful incident during a trip to Las Vegas led to a life-altering diagnosis for a 62-year-old Virginia man.

US Politics • 2 hours ago
Man Discovers Breast Cancer After Friend's Nipple Twist on Vegas Vacation

Robert Pfleghardt, a 62-year-old from Virginia, discovered a lump in his chest that led to a breast cancer diagnosis following a vacation in Las Vegas. The incident occurred in 2021 when a friend playfully pinched his nipple during a gathering.

Pfleghardt recounted that the playful gesture, intended as a "t**ty twister," caused significant discomfort. A week after returning from the trip, he noticed a small lump, about the size of an eraser, located near his nipple. Initially, he dismissed it, believing men rarely develop breast cancer and not suspecting a serious medical issue.

Despite his initial dismissal, the persistent discomfort prompted Pfleghardt to seek medical attention. A nurse practitioner advised him to undergo further testing. "She says it's something we need to aggressively research," Pfleghardt recalled, noting that events then moved rapidly.

He underwent a mammogram, a diagnostic imaging test for breast cancer. Pfleghardt shared the somewhat unusual experience of being called for "Mrs. Pfleghardt" instead of his name. The results indicated the presence of breast cancer and raised concerns that it might have spread to his lymph nodes.

Subsequent tests confirmed that the cancer had reached one lymph node. Doctors recommended a double mastectomy and the removal of 19 lymph nodes. However, Pfleghardt opted for a lumpectomy, a less extensive surgical procedure that removes only the cancerous tissue, in late January 2022 due to fear of the larger surgery.

He described the recovery from the lumpectomy as swift, allowing him to resume normal activities within a couple of days. Doctors indicated that the lumpectomy had successfully removed the cancer as a single mass, without spreading extensively, which was a positive sign.

Following surgery, Pfleghardt underwent 29 days of radiation treatment, an experience he described as visually intense, noting that the treated area of his chest turned from its normal color to a "crispy brown."

Men face a higher mortality rate from breast cancer compared to women, with the National Breast Cancer Foundation reporting a 19 percent higher mortality rate. This disparity is often attributed to lower awareness among men, leading to delayed diagnosis and treatment.

Pfleghardt, who is an accountant and entrepreneur, now aims to raise awareness about male breast cancer. He expressed gratitude towards his friend, stating, "My friend that pinched me saved my life. I wouldn't have found the lump otherwise and it would have spread."


Sources