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Breast Cancer Facts and Statistics: What's the Risk at Your Age?

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Your breast cancer risk changes as you age

Every year, 210,000 women will be diagnosed with breast cancer in the United States. While half of these women will be over the age of 61, approximately 25,000 will be under the age of 40, with the rest falling in between. Clearly, breast cancer is a significant public health threat, and it is something about which women of all ages must be aware.

It is of course never wise to wait until a disease actually strikes before becoming informed. This is true of many diseases and it is especially true of breast cancer, which will victimize one out of eight women during their lifetimes, and is the second leading cancer killer of women in the United States each year trailing only lung cancer. Women should begin a dialogue with medical professionals or other authorities to educate themselves about breast cancer as soon as they reach adulthood, and this conversation should continue as they get older. With this in mind, here are some age-related facts about this disease that could be important to know.

Women in their 20s and 30s
Breast cancer is extremely uncommon in women under the age of 30 with a rate of 1 in 156. Nevertheless, it is not unheard of, which is why it is often recommended that women in their 20s begin to give themselves periodic breast self-exams. Basically, these involve a combination of visual observation in a mirror and careful tactile exploration around the area of the breasts. What is being looked for are unusual changes in texture; anomalous discharges from the nipples; and especially any lumps that suddenly appear below the surface of the skin. Most breast cancers in women this young are found in those who are genetically predisposed, so if a woman has had breast cancer in her family, especially among those closest to her (mother, daughter or sister) extra precautions should be taken. Regardless of family history, however, if a lump or other problem with the breast is discovered during a self-exam, an appointment should be made with a doctor immediately, as breast cancer is not something to take a chance with.

For both women in the 20s and 30s, a history of family breast cancer could be a sign of an inherited predisposition caused by mutations in the BRCA 1 or 2 genes, which normally help prevent cancerous tumors from forming. There are blood tests that can detect this abnormality, so it may be a good idea for younger women to be tested if they come from a family with a history of suffering from this disease. Besides family history and genetic mutation, two other notable risk factors for women under 40 are previous radiation treatment to the chest area for other medical conditions, and (not surprisingly) a previous incidence of breast cancer.

Screening mammograms are not recommended for women under 40, except when they have high risk factors, in which case these examinations should be done yearly. Even though the chances of getting breast cancer are only .43% over the next ten years once a woman reaches the age of 30, breast cancers in younger women tend to be more aggressive and deadly, which is why self-examinations, medical breast exams, and regular mammograms for those with high risk factors are clearly important.

Women in their 40s
Ten percent of all breast cancers hit women in their 40s, which is why doctors recommend annual or biannual screening mammograms for all women in this age range, regardless of risk factors.

Among the new risk factors that begin to come into play at this age are:

  • The first full term pregnancy did not occur until after the age of 30
  • Early beginning to menstruation
  • Excessive consumption of alcohol
  • Hormone therapy using estrogen to combat the symptoms of early-onset menopause

In each case, what is involved are behaviors or events that increase a woman’s lifelong exposure to estrogen, a female hormone connected to reproductivity that is used as a fuel source by the types of breast cancers commonly found in women over 40. Preventative measures against the effects of estrogen can include hormonal therapy to repress the functioning of the ovaries, or actual removal of the ovaries, either of which could be an option for women in high risk categories. Tamoxifen, a drug, which can attach itself to estrogen receptors and shut down cancer cell formation, is normally used for cancer treatment but is sometimes prescribed as a preventative measure for women in high risk categories. One bit of good news for all women over 40 is that the breast cancers that tend to develop from this age on are generally not as aggressive or deadly.

Women in their 50s and 60s
Between 80 and 85% of all women who are diagnosed with breast cancer do so during these two decades, so this is the time when precautionary actions become most important. Over 50% of those carrying genetic mutations in the BRCA 1 or 2 genes will eventually develop breast cancer, so any woman with this mutation who has not yet contracted the disease needs to be on high alert. Menopause occurring after the age of 55 is a new possible risk factor (longer exposure to estrogen again) and postmenopausal hormone therapy of course is most commonly administered to those in this age group. Obesity after menopause is yet another new risk factor, as fat cells release estrogen and become the body’s primary source for this hormone once the ovaries shut down. Because age is actually the number one risk factor for breast cancer, tamoxifen for the purposes of prevention is often prescribed for women over 60, regardless of whether or not any other risk factors are present.

The dialogue continues
What women need to know about breast cancer and their personal situations changes from decade to decade. The most important thing they need to know, however, is this: at least 90% of all breast cancers are curable if detected early. It is for this reason that the necessity of eternal vigilance is the ultimate message that women of every age need to absorb and remember.

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