Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast...

UnderstandingBreastCancerRisk KaiserPermanenteEastBay

27|May21,2013 |©KaiserPermanente2010‐2011.AllRightsReserved

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

Topics

Breast Cancer Risk Statistics

Risk Factors

Breast Density-What Does it Mean for me?

Decreasing my Breast Cancer Risk

Recommendations Based on Your Risk

East Bay Kaiser Resources

Topics

Risk Factors

Risk is the chance that

something will happen

What is the Risk of Breast Cancer?

1 in 8 women will develop breast cancer

= 12% lifetime risk of breast cancer

6 February 24, 2014

87% chance a woman will

NEVER get breast cancer, even if she

lives to be 80 years old!

Breast Cancer Survival Rate

The overall 5-year relative survival is ~89.2%

Topics

Risk Factors

9 February 24,

Interestingly…

• Hereditary forms of breast cancers (passed down through genes within families) are only 5-10% of overall cases

• 75% of women have no significant risk factors

What are the Biggest Risk Factors?

Being a Woman and Getting Older

are the Biggest Risk Factors for

Developing Breast Cancer

Top Cancers in

2005-2009, Rate Per 100,000 w

omen in U

Top Cancer Deaths in

Breast Lung Colon Lung Breast Colon

Comparing Deaths in Women #1 cause of

CANCER Death in women?

Lung Cancer

#1 cause of Death in women

Heart Disease

Bottom Line…

Breast Cancer is NOT the most common killer of women

Most women with Breast Cancer Survive (~89%)

Breast Cancer Risk Increases with Age

% of U.S. Women Who DevelopBreast Cancer over 20-Year Interval Accordingto Their Current Age,2008–2010

30 40 50 60 70 Age

ComparingRiskFactorsforBreastCancer notallrisksarethesame

Minor Risk Factors Moderate Risk Factors

•Starting Periods Early

•Late menopause

•No children

•More than 30years age at first birth

•Hormone Replacement Therapy for more than 5 yrs

•Obesity after menopause

•More than 2 drinks/day

•One 1st-degree relative* with breast cancer

•Prior breast cancer without familyhistory

•Breast biopsy with abnormal cells

•Breast density

*1st degree relative = Mom, Sister

I Am High Risk because… I had Chest Radiation (for previous cancer)

I carry the gene for breast cancer

I Have a Family with…

• Two or more relatives with breast cancer, one before 50.

• One relative with breast cancer and one with ovarian cancer

• A 1st degree male relative with breast cancer

• Two or more relatives with ovarian cancer, one before 65.

• Ashkenazi Jewish Heritage with more than 2 relatives with breast cancer or ovarian cancer

• One relative with both ovarian AND breast cancer

*1st degree relative = Mom, Sister, Brother, Father

Topics

Risk Factors

Breast Density is …how your breast tissue looks on mammogram

February 24,2014

Breast Density IS ...

• NOT related to breast size

• NOT related to how your breast feels

• NOT felt on a physical exam

• Only seen on a mammogram

Breast Density...

• Is common in younger women

• Decreases as you age (only 1/3rd women over 60 still have dense breasts)

• Makes it harder to interpret a Mammogram

• Might increase risk of cancer

Dense Breast, Now What?

• Mammogram is STILL the ONLY recommended screening tool proven to save lives, EVEN for those with dense breasts

• MRI and Ultrasounds are rarely used for screening

Bottom Line… Get yearly breast exams and a yearly DIGITAL mammogram after age 40.

Topics

Risk Factors

Risk Reduction Options All Risk Breast Self-Exam Imaging Mammogram

Once a month adult women of all Mammograms are recommended ages are encouraged to perform for women age 40 to 74 every 1 breast self-exams to 2 years.

Risk Reduction Options

VERY High Risk: Surgery

Women with a gene mutation have a 40-60% lifetime risk of developing breast cancer

Intermediate Risk: MedicaAon

For some women, taking an estrogen-blocking medication can decrease the risk of developing breast cancer

201426

February 24,

What are some Risk factors you …

CANNOT change

• Age • Gender • Pregnancy • Breast Density • Race/Ethnicity • Family History • Age at your first period • Age started menopause • History of abnormal breast

biopsy

CAN change

• Having an Active Lifestyle • Drinking Alcohol • Reduce Hormone

Replacement Therapy • Maintaining a Healthy Weight • Breastfeeding

Healthy Lifestyle Choices

Eat a Healthy Diet

Fruits, vegetables, whole grains, lean

Healthy Choices

Limit alcohol Limit Hormone Therapy

Exercise

Exercise regularly 180 minutes per week

What is Healthy Eating? • Increase vegetables

& fruit

• Increase fiber by eating more whole grain foods.

• Eat less fat.

Limit Alcohol

More Than One Glass of Alcohol Per DayIncreases Breast Cancer Risk

Topics

Risk Factors

201431 February 24,

If you are at Low risk…

Recommendations

Maintain Healthy Lifestyle

Yearly Breast Exam by a Health Care Provider

Mammogram every 1-2 years from age 40

201432 February 24,

If you are at Moderate Risk…

•One first-degree relative* with breast cancer

•Prior breast cancer without family history

•Breast biopsy with abnormal cells

•Increased Breast Density

Recommendations

Digital Mammogram every year from age 40

*1st degree relative = Mom, Sister, Brother, Father

201433 February 24,

If you are at High Risk…

Recommendations

Genetics Consultation

MRI and Digital Mammogram alternating every 6 months from age 30 once seen by Genetics

Contact our breast clinic at 510-752-7447 for further evaluation.

Topics

Risk Factors

Breast Density

Decreasing My Breast Cancer Risk

Recommendations based on Your Risk

We hope this presentation addresses your concerns. If you would like additional information, please call the Kaiser-Oakland Breast Center at

510-752-7447.

Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast...

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