According to the American Cancer Society, nearly 200,000 Americans will face a breast cancer diagnosis this year; 41,000 will ultimately die from the disease. Breast cancer is the second leading cause of cancer-related deaths in women, after lung cancer, affecting one in eight women. It also affects men, but the number of cases is small compared to women.
No one knows why some women get breast cancer, but there are risk factors. Genetics, aging, family history, obstetric and gynecological history and demographic and environmental factors are probable contributors to the disease. Two genes — BRCA1 and BRCA2 — greatly increase a woman’s risk for breast cancer. If you have a family history of breast or ovarian cancer in first-degree relatives, your likelihood for developing breast cancer increases. Women who began menstruation before the age of 12 or went through menopause after age 55 are also at risk.
Other factors include being overweight, using hormone replacement therapy, taking birth control pills, drinking alcohol, not having children or having your first child after age 35, as well as having dense breasts, breast biopsies and radiation exposure.
Race also plays a role. Non-Hispanic white women have an increased incidence of breast cancer; African-American, Hispanic, Native American and Asian women have increased mortality from the disease. Variations in mortality from breast cancer could be related to education, income level, health insurance coverage and diet. (A recent study suggests that Omega-3 fish oils may reduce the risk of breast cancer by 32 percent, though more research is needed to confirm these results.)
Women of African heritage also bear a greater risk for a form of breast cancer that is more aggressive and more difficult to treat. More than one-quarter of the African women in a recent study had triple negative breast cancer, so named because the tumors lack the three hormone receptors that are most often targeted during treatment. Researchers are looking for bio-markers that might help assess the risk and treatment of triple negative cancer.
The latest research shows that a better predictor of how a woman with breast cancer will fare may be the genetic make-up of the tumor rather than its size and appearance, which has been the traditional way of looking at cancers. This new research allows physicians to focus on prognosis — who will respond to which type of treatment. A study of 227 women with breast cancer showed that a positive, emotionally healthy outlook along with relaxation and exercise may help them cope with the stress of the disease.
The use of breast self-examination in decreasing breast cancer mortality has come under scrutiny since newer screening technologies have developed. Although a breast self-exam cannot prevent breast cancer, it may help women to better understand the normal changes in their breasts and identify unusual signs and symptoms. Discuss self-examination with your gynecologist or healthcare provider. Notify your doctor if you notice a new lump; a change in the size of a breast lump; red, swollen or flaky skin on any area of the breast; nipples that are painful or inverted; fluid discharge from the nipples if not breastfeeding; or a lump or changes in the skin under the arm.
Many hospitals have opened comprehensive breast centers so women can receive care in a supportive environment in their own communities. Breast health requires multidisciplinary care; and these centers provide a wide array of services in one location such as prevention, risk assessment, screening and detection, education, diagnostic procedures and treatment consultation. Additional programs include strategies to combat fatigue during chemotherapy or radiation and genetic evaluation for those at risk. Staff at these centers include breast health nurses, a medical director, a breast imaging director and radiologists, radiation and medical oncologists, surgical oncologists, plastic surgeons and social workers.
The nurses at breast centers help women understand their disease and treatment options and assist the team and patient to determine the best treatment options. The nurses teach cancer prevention, screening guidelines and the importance of early detection and breast self-exams. Together, the social worker and nurses address financial concerns and transportation needs to and from treatments, provide one-on-one and family counseling and hold group support sessions.
Early detection is essential to surviving breast cancer: 98 percent of breast cancer patients survive at least five years if the cancer is discovered before it spreads, compared to only 23 percent when the cancer has reached other parts of the body. The ultimate goal is to empower women with the most recent information so they can make educated decisions about their health. Visit www.nbcam.org and www.cancer.org.
Reduce Your Risk
Know your family health history and talk to your doctor about it
Consult your doctor about breast cancer screening based on your risk factors
Learn how to do a breast self-exam
Drink alcohol in moderation, if at all
Exercise 30 minutes a day
Limit postmenopausal hormone therapy
Maintain a healthy diet and a healthy weight
The content of this article is for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition.
One of Ibiza’s hottest restaurant destinations since its opening five years ago, Bottega il Buco, draws legions of fans with the addition of new head chef Max Rivera Papic, whose kitchen credits include skills honed under the tutelage of Alain Ducasse at The Dorchester, London.
As the travel industry finds itself in the midst of the first peak travel season since the beginning of the pandemic, Crowne Plaza® Hotels & Resorts commissioned a survey of more than 1,200 U.S. consumers to learn more about business travel habits, learning 65 percent of Millennials, aged 25–44 years old, and 59 percent of Gen Z, ages 18–24 years old, prefer to work for a company offering frequent travel or flexible blended travel as a perk. Blended travel is the combination of business travel with leisure travel.
Ski season is around the corner. Now is the perfect time to plan your winter ski getaway. These Colorado resorts offer deals designed for skiers.
This holiday season, give your loved ones a gift from around the world to create memories that last a lifetime.
THE MOST EXCLUSIVE TOURS OF EGYPT EVER OFFERED with the world’s most eminent archaeologists
Lodging and hospitality company Angama announced the November 2023 opening of Angama Amboseli, an intimate, 10-suite lodge set in Kenya’s private, 5,700-acre Kimana Sanctuary, against the iconic backdrop of Mount Kilimanjaro, located just across the border in Tanzania.
Costa Rica prepares to welcome its first Waldorf Astoria Hotels & Resorts property, slated to open in 2025. Waldorf Astoria Guanacaste will boast 190 guestrooms, as well as 25 Waldorf Astoria-branded residences, all offering sweeping views overlooking the ocean. A presidential suite will also grace the property.
Sweet tea. Soul food. Y'all. Sound familiar? Though these words and phrases are commonly associated with the South, it's understood in any language. If you're seeking a city abroad that will enchant you, capture your attention from start to finish and welcome everyone as family, we cordially invite you to visit Savannah.
West Coast travelers can now enjoy easier, more efficient access to the Cayman Islands thanks to a new airlift option via Cayman Airways Ltd. As of Nov. 6, Cayman Airways operates nonstop service from Los Angeles International Airport to Owen Roberts International Airport in Grand Cayman at an introductory fare of $399.