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Preventing Breast Cancer

Peer Review Status: Holden Comprehensive Cancer Center, Cancer Information Service
First Published: October 2000
Last Revised: May 2003


Breast cancer is the most common type of cancer in American women, with an estimated 182,800 cases expected to be diagnosed in a year's time. A risk factor is anything that increases a person's chance of getting a disease. Scientist have identified a number of risk factors for developing breast cancer, including:

Risk factors that cannot be changed

  • Increasing age (two-thirds of all breast cancers occur in women over 50 years of age)
  • Onset of first menstrual period at age 11 or younger
  • Onset of menopause after age 50
  • Family history of breast cancer in mother, and/or sisters
  • Exposure to ionizing radiation (fluoroscopy for tuberculosis, radiation for Hodgkin's Disease etc)
  • Jewish ethnicity

Rick factors that can be changed

  • Never having children or having a first pregnancy after age 30
  • Use of oral contraceptives (risk increases only while taking oral contraceptives)
  • Use of hormone replacement therapy for 5 or more years
  • Consuming one or more alcoholic drinks per day
  • Postmenopausal weight gain
  • Eating less than 3 servings of vegetables per day

Other possible risk factors include:

  • A sedentary lifestyle
  • Smoking
  • Abortion

Since 70% of women who develop breast cancer do not have any of the risk factors identified above, all women need to take preventative steps.

Steps you can take to reduce your risk of breast cancer

  • Eat at least three servings a day of vegetables.
  • Limit alcohol consumption to less than 1 drink per day.
  • Breastfeeding for at least one year over all pregnancies lowers breast cancer risk.
  • Talk with your family physician about taking a Selective Estrogen Receptor Modulator (SERM) such as tamoxifen or raloxifene if you are at high risk.
  • Consider gene testing, and/or prophylactic mastectomy if you have a strong family history of breast cancer.
  • Exercising (30 minutes per day) and refraining from tobacco use provide health benefits in addition to possibly lowering breast cancer risk.
  • Follow the recommended screening and early detection guidelines. The American Cancer Society recommends:
    Women age 40 and older should have:
    • an annual mammogram
    • annual clinical breast exams performed by a health care professional
    • perform monthly breast self-examination

    Women ages 20-39 should have:
    • clinical breast exams performed by a health care professional every three years
    • perform monthly breast self-examination
  • If detected early, breast cancer can often be treated effectively.

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Last modification date: Mon Aug 7 13:09:57 2006
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