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Understanding Breast Cancer Risk Kaiser Permanente East Bay February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014 1

Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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Page 1: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

UnderstandingBreastCancerRisk KaiserPermanenteEastBay

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

1

Page 2: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

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

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

2 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 3: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

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

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

3 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 4: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

Risk is the chance that

something will happen

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

4

Page 5: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

What is the Risk of Breast Cancer?

1 in 8 women will develop breast cancer

= 12% lifetime risk of breast cancer

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

5

Page 6: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

6 February 24, 2014

© Kaiser Permanente 2010-2011. All Rights Reserved

87% chance a woman will

NEVER get breast cancer, even if she

lives to be 80 years old!

Page 7: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

Breast Cancer Survival Rate

The overall 5-year relative survival is ~89.2%

7 February 24, http://seer.cancer.gov/statfacts/html/breast.html#survival © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 8: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

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

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

8 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 9: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

2014

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

© Kaiser Permanente 2010-2011. All Rights Reserved| http://www.cancernetwork.com/cancer-management/breast-overview/article/10165/1802560

Page 10: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

What are the Biggest Risk Factors?

Being a Woman and Getting Older

are the Biggest Risk Factors for

Developing Breast Cancer

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

10

Page 11: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

Top Cancers in

Women

2005-2009, Rate Per 100,000 w

omen in U

.S

140

120

100

80

60

40

20

0

45

40

35

30

25

20

15

10

5

0

Top Cancer Deaths in

Women

Breast Lung Colon Lung Breast Colon

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved | US Cancer Statistics http://apps.nccd.cdc.gov/uscs/toptencancers.aspx 2014

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Page 12: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

Comparing Deaths in Women #1 cause of

CANCER Death in women?

Lung Cancer

#1 cause of Death in women

Heart Disease

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

12

Page 13: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

Bottom Line…

Breast Cancer is NOT the most common killer of women

Most women with Breast Cancer Survive (~89%)

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

13

Page 14: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

2014

14 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved| http://www.cdc.gov/cancer/breast/statistics/age.htm

Breast Cancer Risk Increases with Age

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

6.12

6.86

5.59

1.87

3.69

0

1

2

3

4

5

6

7

8

30 40 50 60 70 Age

Page 15: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

15 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 16: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

16 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 17: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

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

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

17 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 18: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

Breast Density is …how your breast tissue looks on mammogram

LOW HIGH February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

18

Page 19: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

February 24,2014

19 © Kaiser Permanente 2010-2011. All Rights Reserved

Page 20: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

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Page 21: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

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Page 22: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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.

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

22

Page 23: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

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

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

23 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 24: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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.

24 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 25: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

25 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 26: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

© Kaiser Permanente 2010-2011. All Rights Reserved

CAN change

• Having an Active Lifestyle • Drinking Alcohol • Reduce Hormone

Replacement Therapy • Maintaining a Healthy Weight • Breastfeeding

Page 27: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

Healthy Lifestyle Choices

Eat a Healthy Diet

Fruits, vegetables, whole grains, lean

meats

Healthy Choices

Limit alcohol Limit Hormone Therapy

Exercise

Exercise regularly 180 minutes per week

27 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 28: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

What is Healthy Eating? • Increase vegetables

& fruit

• Increase fiber by eating more whole grain foods.

• Eat less fat.

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

28

Page 29: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

201429 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved

Limit Alcohol

More Than One Glass of Alcohol Per DayIncreases Breast Cancer Risk

Page 30: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

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

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

30 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 31: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

© Kaiser Permanente 2010-2011. All Rights Reserved

Page 32: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

© Kaiser Permanente 2010-2011. All Rights Reserved

Recommendations

Maintain Healthy Lifestyle

Yearly Breast Exam by a Health Care Provider

Digital Mammogram every year from age 40

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

Page 33: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

201433 February 24,

If you are at High Risk…

Recommendations

Maintain Healthy Lifestyle

Yearly Breast Exam by a Health Care Provider

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.

© Kaiser Permanente 2010-2011. All Rights Reserved

Page 34: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

DEPARTMENTOFWOMEN’SHEALTH

WhatareyourbiggestrisksforBreastCancer?BeingaWomanandGe=ngOlderaretheBiggestRiskFactorsforDevelopingBreastCancer

WhataresomeRiskFactors

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

Topics

Breast Cancer Risk Statistics

Risk Factors

Breast Density

Decreasing My Breast Cancer Risk

Recommendations based on Your Risk

East Bay Kaiser Resources

34 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

Page 35: Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast Cancer not all risks are the same Minor Risk Factors Moderate Risk Factors •Starting

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

510-752-7447.

February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014

35