In 2021 it is estimated that there will be 27,880 new cancer cases in Louisiana, 4,020 will be female breast cancer with 670 deaths. It is the most commonly diagnosed cancer in women and the 2ND highest cause of cancer deaths in women. October was designated breast cancer awareness month in 1985 to help lower these statistics by raising awareness and promoting mammograms. The use of mammography leading to early detection has improved survival from Breast Cancer. It is for this reason that women have been encouraged to get their yearly mammogram.
Who should get a mammogram? The American Cancer Society recommends that women should get their 1st mammogram between the ages of 40-44 and then annually through 55. After 55, you may continue annual screening or transition to every other year as long as life expectancy is 10+ years. I advocate women continue annual screening mammography. Women who are high risk may want to start at an earlier age. This is a conversation to have with your physician.
What are the risk factors? Risk factors come in two types, those we can do something about and those we cannot. Family history of breast cancer and other cancers carried on the breast cancer gene BRCA 1 & 2, high breast tissue density, high dose radiation to the chest at a young age, being childless, first child after the age of 30, high natural levels of estrogen and testosterone, increasing age and being female (1% male breast cases). Modifiable risk factors include weight gain after age 18, use of hormone replacement therapy, high alcohol consumption and physical inactivity. Breast feeding for one year will decrease your risk.
How do we treat breast cancer? The treatment for this disease has evolved and improved over the years. Not all women require the same treatment. Usually included after biopsy is a surgical procedure, lumpectomy or mastectomy. Chemotherapy, radiation therapy, hormonal therapy or immunotherapy are individually selected for the patient.
The good news is that breast cancer deaths have decreased over the last 30 years.
EARLY DETECTION LEADS TO A CURE!
Lawrence P. Menache, M. D.
Radiation Oncologist
Cabrini Center for Cancer Care