Breast Cancer Risk
Your Results
Because of your age, your immediate risk for developing breast cancer is very
low.
Because of your age, your immediate risk for developing breast cancer is low.
Because of your age alone, your immediate risk for developing breast cancer
is slightly higher than for a younger woman.
Because of your age, your immediate risk for developing breast cancer is moderate.
However, because you have risk factors other than age (listed below), your immediate
risk is higher than others in your age group.
Because of your age alone, your immediate risk for developing breast cancer
is high.
Because of your age alone, your immediate risk for developing breast cancer
is high. The additional risk factors you have reported (listed below) increase that
risk further over a same-age person without risk factors.
Age is the greatest risk factor for developing breast cancer. Children rarely develop
breast cancer. In fact, the incidence doesn't begin to rise until around age 17,
but even then the incidence is low. Beginning about age 45, the risk begins to rise
rapidly.
Age is the greatest risk factor for developing breast cancer. Children rarely develop
breast cancer. In fact, the incidence doesn't begin to rise until around age 17,
but even then the incidence is low. Between the ages of 45 and 65, your immediate
risk of developing breast cancer increases, especially for women who have risk factors
other than age. According to the American Cancer Society, about 18 percent of breast
cancer is diagnosed in women in this age range.
Age is the greatest risk factor for developing breast cancer. Children rarely develop
breast cancer. In fact, the incidence doesn't begin to rise until around age 17,
but even then the incidence is low. Beyond age 45, your immediate risk of developing
breast cancer increases, especially if you have other risk factors. These risk factors,
especially if they are significant, will put you at increasingly higher risk as
you grow older.
Age is the greatest risk factor for developing breast cancer. At age 65 or older,
your risk for breast cancer increases with each passing year. According to the American
Cancer Society, about 77 percent of breast cancer diagnoses occur after age 50,
with the majority after age 65. Other risk factors, if they are present, become
increasingly important in determining the risk of developing breast cancer in women
older than 65.
Age is the greatest risk factor for developing breast cancer. At age 65 or older,
your risk for breast cancer increases with each passing year. According to the American
Cancer Society, about 77 percent of breast cancer diagnoses occur after age 50,
with the majority after age 65. Other risk factors become increasingly important
in determining the risk of developing breast cancer in women older than 65.
Because you are younger than 17, you have almost no immediate risk of developing
breast cancer even if you have other risk factors, listed below. Any risk factors
you do have, especially if they are significant, will put you in increasingly higher
risk categories as you grow older.
Because you are not yet 45 years old, your immediate risk of developing breast cancer
is low even if you have other risk factors, listed below. Any risk factors you do
have, especially if they are significant, will put you in increasingly higher risk
categories as you grow older.
Your risk factors and their significance, according to this assessment, are listed
below.
Risk factors of high significance
- Family history
of breast cancer
- Family history
of early onset breast cancer
- Personal history
of uterine cancer
- Personal history
of ovarian cancer
Risk factors of moderate significance
- Obesity: A BMI of
places you in the obese category, which increases
your risk moderately.
- Drinking alcoholic
beverages: The risk for developing breast cancer increases with the amount of alcohol
consumed, the American Cancer Society says. If you have no more than one drink a
day, or seven a week, your risk rises by only a very small amount. Women who have
two to five drinks a day, or more than seven a week, have about 1-1/2 times the
risk of women who don't drink.
- First childbirth
after age 40
Risk factors of mild significance
- Ethnicity: Caucasians
have an increased incidence of breast cancer when compared with African-Americans,
Asians, or Hispanics. However, they have a decreased mortality when compared with
the same group.
- Ethnicity: African-Americans
actually have a lower incidence of breast cancer than Caucasians but are diagnosed
later, when the disease is more difficult to treat. As a result, they are more likely
to die of the disease.
- Ethnicity: Hispanics
are actually about 30 percent less likely to be diagnosed with breast cancer than
Caucasian women. However, diagnosis is usually later, when the disease is more difficult
to treat. As a result, breast cancer is the leading cause of cancer death among
Hispanic American/Latina women.
- Overweight: A BMI of places you in the overweight category, which increases
your risk slightly.
- Smoking: The American
Cancer Society does not consider smoking a significant risk for breast cancer but
does recognize that there is conflicting evidence in the medical literature. Because
smoking is clearly associated with numerous cancers, it is a good idea to do all
you can to quit smoking.
- First childbirth
after age 30
- Menarche (onset of
menstruation) before age 12
- Menopause after
age 55
Your Risk Factors
You have indicated no risk factors for breast cancer.
You have indicated no risk factors for breast cancer other than age.
About Risk Factors and Preventive Screening
Some risk factors, such as age and family medical history, cannot be changed. However,
others—such as weight, smoking, and alcohol consumption—can be modified. If you
have risk factors that are modifiable, you should consider making lifestyle changes
to reduce those risks. You should avoid alcohol, quit smoking, lose weight if you
need to, and exercise regularly. If you have children, breast-feeding them for several
months can reduce your breast cancer risk. After menopause, you should avoid hormone
therapy. In addition, a healthy diet and adequate exercise may reduce breast cancer
risk.
A large portion of the women with breast cancer have no risk factors. Having risk
factors does not automatically mean that you will develop breast cancer. But having
risk factors is a good reason to discuss them with your physician and schedule preventing
screening.
Whether you have risk factors or not, it is important to follow the national breast
cancer screening guidelines. Here are the American Cancer Society's recommendations
for screenings:
- Women who are age 40 or older should have a screening mammogram every year and should
continue to do so for as long as they are in good health. (A mammogram is an X-ray
of breast tissue. The X-ray is taken by compressing the breast firmly between a
plastic plate and a cassette that contains special X-ray film.)
- Women in their
20s and 30s should have a clinical breast examination at least every three years,
as part of a regular health exam. After age 40, women should have a breast exam
by a health care provider every year.
- A breast self-exam (BSE) is an option for women starting in their 20s. Talk to your
health care provider about the benefits and limitations of BSEs. If you notice any
breast changes, talk to your provider right away.
- Women who are at increased risk should talk with their health care provider about
whether to start mammograms at a younger age, have additional tests (such as breast
ultrasound or MRI), or have more frequent exams.
This information is not intended as a substitute for professional healthcare. Always
consult with a health care provider for advice concerning your health. Only your
health care provider can determine if you have breast cancer.
References for Breast Cancer
- Seidman H, Mushinski MH, Gelb SK, et al. Probabilities of eventually developing
or dying of cancer: United States, 1985. CA Cancer J Clin. 1985; 35: 36-56. (data
from SEER Program)
- Bain C, Speizer FE, Rosner B, et al. Family history of breast cancer as a risk indicator
for the disease. Am J Epidemiology. 1980; 111:301-308.
- Dupont WD, Page DL. Risk factors for breast cancer in women with proliferative breast
disease. N Engl J Med. 1985; 312:146-151.
- Henderson BE. Endogenous and exogenous endocrine factors. In: Henderson IC, ed.
Endogenous and Exogenous Endocrine Factors. Philadelphia, Pa: WB Saunders Co; 1989:577-598.
- Henderson HI. Breast Cancer. In: Murphy GP, Lawrence W, Lenhard RE, ed. American
Cancer Society Textbook of Clinical Oncology. Atlanta, GA: American Cancer Society;
1995:198-219.
- Steinburg KK, Thacker SB, Smith SJ, et al. A meta-analysis of the effect of estrogen
replacement therapy on the risk of breast cancer. JAMA. 1991; 265-1985-1990.
- Romieu I, Berlin JA, Colditz G. Oral Contraceptives and breast cancer,: review and
meta-analysis. Cancer. 1990;66:2253-2263.
- Sanchez MA Ethnic differences in risk and prognosis factors for breast cancer. Cancer,
1996 Feb 1;77(3):593-4.
- Trentham-Dietz A, Newcomb PA, Storer BE, Longnecker MP, Baron J, Greenberg ER, Willett
C. Body size and risk of breast cancer, Am J Epidemiol 1997 Jun 1;145(11):1011-9.
- Longnecker MP, Berlin JA, Orza MJ, ChalmersTC. A meta-analysis of alcohol consumption
in relatin to risk of breast cancer. JAMA. 1988; 260:652-656.
- Kuerer HM, Cunningham JD, Brower ST, Tartter PI Breast carcinoma associated with
pregnancy and lactation. Surg Oncol, 1997 Aug;6(2):93.
- Lambe M, Hsieh CC, Tsaih SW, Ekbom A, Trichopoulos D, Adami HO Parity, age at first
birth and the risk of carcinoma in situ of the breast. Int J Cancer 1998 Jul 29;77(3):330-2.
- Re A, Taylor TH, DiSaia PJ, Anton-Culver H Risk for breast and colorectal cancers
subsequent to cancer of the endometrium in a population-based case series. Gynecol
Oncol, 1997 Aug;66(2):255-7.
- Snyderwine EG, et al., Diet and mammary gland carcinogenesis, Recent Results Cancer
Res 1998;152:3-10.
- Gammon MD, John EM, Britton JA. Recreational and occupational physical activities
and risk of breast cancer. J Natl Cancer Inst, 1998 Jan 21;90(2):100-17.
- Crabbe WW, The tamoxifen controversy. Oncol Nurs Forum, 1996 Jun;23(5):761-6.
- U.S. Preventive ServicesTask Force (USPSTF). Breast Cancer Screening. 2002. Accessed
on the World Wide Web at http://www.ahrq.gov/clinic/uspstf/uspsbrca.htm
-
American Cancer Society. Detailed Guide: Breast Cancer. Can Breast Cancer Be Found
Early?. 2003 Oct. Accessed on the World Wide Web at
http://www.cancer.org
- American Cancer Society. Breast Cancer Facts and Figures
2001-2002. Accessed on the World Wide Web at
http://www.cancer.org/downloads/STT/BrCaFF2001.pdf
- National Cancer Insititute,
National Institutues of Health. What You Need To Know About Breast Cancer. 2003
Sept. Accessed on the World Wide Web at
http://cancer.gov/cancerinfo/wyntk/breast
- National Cancer Institute. Lifetime
Probability of Breast Cancer in American Women. 2002 Sept. Accessed on the World
Wide Web at http://cis.nci.nih.gov/fact/5_6.htm
-
U.S. Food and Drug Administration. FDA Sets Higher Standards for Mammography. FDA
Consumer magazine (January-February 1999). Accessed on the World Wide Web at
http://www.fda.gov/fdac/features/1999/199_mamm.html
- Sinha R. An epidemiologic
approach to studying heterocyclic amines. Mutat Res. 2002 Sep 30;506-507:197-204.
- Gerber B, Muller H, Reimer T, Krause A, Friese K. Nutrition and lifestyle factors
on the risk of developing breast cancer. Breast Cancer Res Treat. 2003 May;79(2):265-76.
- Zhu J, Chang P, Bondy ML, Sahin AA, Singletary SE, Takahashi S, Shirai T, Li D.
Detection of 2-amino-1-methyl-6-phenylimidazo[4,5-b]-pyridine-DNA adducts in normal
breast tissues and risk of breast cancer. Cancer Epidemiol Biomarkers Prev. 2003
Sep;12(9):830-7.
- Mayo Clin Womens Healthsource. Well-done meat linked to breast cancer risk. 1999.
Feb;3(2):3.
- National Institute on Aging. Senior Health, Breast Cancer, Causes and Risk Factors.
2003 Oct. Accessed on the World Wide Web at
http://nihseniorhealth.gov/breastcancer/causesandriskfactors/03.html
- Brekelmans
CTM, Seynaeve C, Bartels CCM, Tilanus-Linthorst MMA, Meijers-Heijboer EJ, Crepin
CMG, van Geel AN, Menke M, Verhoog LC, Van den Ouweland A, Obdeijn IM, Klijn JGM.
Effectiveness of breast cancer surveillance in BRCA1/2 gene mutation carriers and
women with high familial risk. J Clin Oncol 2001; 19(4): 924-930.
- Pritchard KI. Clinical practice guidelines for the care and treatment of breast
cancer: 14. The role of hormone replacement therapy in women with a previous diagnosis
of breast cancer. CMAJ 2002 Apr; 166(8): 1017-22.
- Falkenberry S, Legare R. RISK FACTORS FOR BREAST CANCER. Obstetrics and Gynecology
Clinics 2002 Mar; 29(1).
- Verloop J, Rookus MA, van de Kooy K, van Leeuwen FE. Physical activity and breast
cancer risk in women aged 20-54 years. J Natl Cancer Instit 2000; 92: 128-135.
- Lee SH. An increased risk of breast cancer after delayed first parity. Am J Surg
- 01-OCT-2003; 186(4): 409-12.
- U.S. Preventive Services Task Force, Breast Cancer Screening Recommendation. February
2002. Accessed on the World Wide Web at
http://www.ahrq.gov/clinic/uspstf/uspsbrca.htm
- Eyre, Harmon, et al., ACS/ADA/AHA
Scientific Statement, Preventing Cancer, Cardiovascular Disease, and Diabetes. Circulation.
2004;109:3244-3255. June 15, 2004.
- American College of Obstetricians and Gynecologists. Staying Healthy at All Ages.
2001. Accessed on the World Wide Web at
http://www.medem.com
This assessment is not intended to replace the evaluation of a healthcare professional.
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