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a NewsHour with Jim Lehrer Transcript
Online NewsHour
RISK FACTORS

 

Do you know whether you are at risk for breast cancer? Read what the risk factors are, according to the National Cancer Institute and the American Cancer Society. Then, if you want a more in-depth evaluation, sign up for the National Cancer Institute's Breast Cancer Risk Assessment Model.

 
  • GENDER: Women have a far greater risk of breast cancer than men. The disease is about 100 times more common among women than men.
  • GENETIC RISK FACTORS: Recent studies have shown that 5 percent to 10 percent of breast cancer cases are hereditary and result from mutations (changes) of the BRCA1 and BRCA2 genes. About 50 percent -60 percent of women with inherited BRCA1 or BRCA2 mutations will develop breast cancer by the age of 70. Women with these inherited mutations also have an increased risk for developing cancer of the ovary.
  • PERSONAL HISTORY OF BREAST ABNORMALITIES: Two breast tissue abnormalities -- ductal carcinoma in situ (DCIS) and lobular carcinoma in situ (LCIS) -- are associated with increased risk for developing an invasive breast cancer. A woman with cancer in one breast has a 3- to 4-fold increased risk of developing a new cancer in the other breast.
  • BREAST CANCER AMONG RELATIVES: Having one first-degree relative (mother, sister, or daughter) with breast cancer approximately doubles a woman's risk, and having two first-degree relatives increases her risk 5-fold. Risk is also higher among women whose close blood relatives have this disease. Blood relatives can be from either the mother's or father's side of the family.
  • AGE: The risk of developing breast cancer increases with age. About 77 percent of women with breast cancer are over the age of 50 at the time of diagnosis.
  • AGE AT FIRST LIVE BIRTH: Women who had their first full-term pregnancy after age 30 and women who have never borne a child have a greater risk of developing breast cancer.
  • MENSTRUAL PERIODS: Women who started menstruating at an early age (before age 12) or who went through menopause at a late age (after age 50) have a slightly higher risk of breast cancer.
  • BREAST BIOPSIES: Women who have had breast biopsies have an increased risk of breast cancer, especially if the biopsy showed a change in breast tissue known as atypical hyperplasia. These women are at increased risk because of whatever prompted the biopsies, NOT because of the biopsies themselves.
  • ALCOHOL: Use of alcohol is clearly linked to increased risk of developing breast cancer. Women who have 2 to 5 drinks daily, have about 1.5 times the risk of women who drink no alcohol. Alcohol is also known to increase the risk of developing cancers of the mouth, throat, and esophagus.
  • RACE: White women have greater risk of developing breast cancer than Black women (although Black women diagnosed with breast cancer are more likely to die of the disease).have greater risk of developing breast cancer than Black women (although Black women diagnosed with breast cancer are more likely to die of the disease).
  • SMOKING: While no studies have yet linked cigarette smoking to breast cancer, smoking affects overall health and increases the risk for many other cancers, as well as heart disease.
  • OBESITY AND HIGH-FAT DIETS: Obesity (being overweight) has been suggested as a breast cancer risk in all studies, especially for women after menopause which usually occurs at age 50.

 

Sources: The National Cancer Institute and the American Cancer Society.

 


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