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Lower
Your Risk
A tremendous amount of promising research is under way to
determine the cause of breast cancer and to establish effective
ways to prevent it. Still, doctors can't always explain
why one woman develops breast cancer and another doesn't.
Everyone seems to know someone with breast cancer, and we
wonder whether we, too, will be affected during our lifetime.
All of us want to do everything we can to reduce the chances
of ever getting the disease. Right now, though, we just
don't know enough about what causes breast cancer and we
haven't yet figured out how to keep it from happening—so
we can't say that we can “prevent” it.
However, researchers are working to learn how our “external”
and “internal” environments may work separately and together
to affect our health and possibly the risk of developing
breast cancer. “Internal environment” means the things inside
our bodies that influence our health, such as genetics (the
genes you got from your mother and father), hormones, illnesses,
and feelings and thoughts. “External environment” refers
to the things outside of our bodies that influence our health,
such as air, water, food, danger, music, noise, people,
and stress. Also, the external environment enters our internal
environment every day—think of the food you eat, water you
drink, air you breathe (including whether you smoke or not),
and medicines you take. More subtlely, there's the way you
“breathe in” or absorb your environment, such as your home
or workplace, and the way you take in energy from the people
you spend time with.
Some of these factors, such as your genetic makeup and the
medicines that you take, have a very direct effect on your
breast health. The impact of other, indirect factors, such
as air quality, exercise, meditation, and spending time
with friends, is less well understood.
Anything that INCREASES your chance of developing breast
cancer is called a risk factor. Anything that REDUCES your
risk of developing breast cancer is called a protective
factor.
You can control some risk factors. For example, if you are
overweight, you can seek to lose excess pounds, which may
reduce your risk of breast cancer. You can also make informed
choices about the medicines you take.
But other factors are beyond your control. For instance,
you can't change your gender. Women are much more likely
than men to have breast cancer. This is mostly because women
have more estrogen and progesterone in their bodies. These
hormones stimulate breast cell growth—both normal and abnormal.
Also, you can't stop growing older. Aging is the biggest
risk factor for breast cancer (besides being a woman).
Risk reduction means making choices to avoid or minimize
any possible risk factors that you can. It also means increasing
the protective factors in your life so your chances of developing
breast cancer are lower.
Although you can control many risk factors, remember that
doing so does not guarantee zero risk. It is also important
to keep in mind that many women who have a particular risk
factor for breast cancer never develop it.
Knowledge is power. Instead of living under the shadow of
myths and misunderstandings, KNOW your own realistic level
of risk. Then you can talk to your doctor about ways to
lessen controllable risk factors and boost your protective
factors.
In the following pages of the Lower Your Risk section, you
can learn about:
• Understanding Breast Cancer Risk
What do the statistics about breast cancer risk mean? What
are relative and absolute risk? The facts and figures can
help you understand risk.
• Genetics and Breast Cancer Risk
Read Conference Transcripts and summaries of research on
BRCA1 and BRCA2 gene abnormalities, including how they affect
breast cancer risk, as well as reports on the treatment
options of removing ovaries and breasts.
• Environmental Factors and Breast Cancer Risk
Medical experts examine the research on environmental pollution,
lifestyle choices, and other non-genetic factors that affect
breast cancer risk. See what they say.
• Lowering Risk for Everyone
Lifestyle and environmental factors can either increase
or reduce your risk for breast cancer. Learn what you should
know and what action you can take.
• Lowering Risk for People at High Risk
If you have a family history of breast cancer or have the
abnormal BRCA1 or BRCA2 gene, you may have a higher risk
of developing breast cancer and may want to consider more
advanced protection methods. Also, if you have an abnormal
BRCA1 or BRCA2 gene, your risk of developing ovarian cancer
is increased. Protect yourself with information.
• Lowering Risk for People with a Personal History
If you already have been diagnosed with breast cancer, your
risk of developing it again is higher than if you had never
had the disease. Treatment options are available to help
you reduce that risk. Your risk of developing ovarian cancer
also may be higher. Understand your options.
• Ovarian Cancer and Breast Cancer
Here we examine the link between ovarian cancer and breast
cancer.
The medical experts for Lower Your Risk are:
Carol Cherry, R.N., O.C.N., oncology nurse, Fox Chase Cancer
Center, Philadelphia, PA.
Anne McTiernan, M.D., Ph.D., member of the Cancer Prevention
Program at the Fred Hutchinson Cancer Research Center in
Seattle, where she is Director of the Prevention Center,
and Research Professor at the University of Washington School
of Public Health and Community Medicine Department of Epidemiology,
and School of Medicine Division of Geriatrics.
Marisa C. Weiss, M.D., breast radiation oncologist, Thomas
Jefferson University Health System, Philadelphia, PA.
http://www.breastcancer.org/
prevention.html
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