What are the unmodifiable
factors in genesis of Br Ca?? Breast Cancer Risk Factors one Cannot Change
A risk factor is anything that increases ones chances of
getting a disease, such as breast cancer. But having a risk factor, or even
many, does not mean that she will sure to get the disease. Some risk factors for
breast cancer are things one cannot
change, such as getting older or inheriting certain gene changes. These make ones
risk of breast cancer higher.
1) Age 2) Inheriting certain gene changes
About 5% to 10% of breast cancer cases are thought to be
hereditary, meaning that they result directly from gene changes (mutations)
passed on from a parent.
2) Family history of breast cancer
It’s important to note that most women who get breast
cancer do not have a family history of the disease. But women
who have close blood relatives with breast cancer have a higher risk:
·
Having a first-degree relative
(mother, sister, or daughter) with breast cancer almost doubles a woman’s risk.
Having 2 first-degree relatives increases her risk about 3-fold.
·
Women with a father or brother who
has had breast cancer also have a higher risk of breast cancer.
Overall, about 15% of women with breast cancer have a family
member with this disease.
4)
Having
a personal history of breast cancer
A woman with cancer in one breast has a higher risk of
developing a new cancer in the other breast or in another part of the same
breast. (This is different from a recurrence or return of the first cancer.)
Although this risk is low overall, it's even higher for younger women with
breast cancer.
5)
race and ethnicity
Overall, white women are slightly more likely to develop
breast cancer than African-American women, although the gap between them has
been closing in recent years. In women under age 45, breast cancer is more
common in African-American women. African-American women are also more likely to
die from breast cancer at any age. Asian, Hispanic, and Native American women
have a lower risk of developing and dying from breast cancer.
Risk in different groups also varies by type of breast
cancer. For example, African-American women are more likely to have the less
common triple-negative breast cancer.
6)
Being
taller
Many studies have found that taller women have a higher risk
of breast cancer than shorter women. The reasons for this aren’t exactly clear,
but it may have something to do with factors that affect early growth, such as
nutrition early in life, as well as hormonal or genetic factors.
7)
Having dense breast
tissue
Breasts are made up of fatty tissue, fibrous tissue, and
glandular tissue. Breasts appear denser on a mammogram when they have more
glandular and fibrous tissue and less fatty tissue. Women with dense breasts on
mammogram have a risk of breast cancer that is about 1 1/2 to 2 times that of
women with average breast density. Unfortunately, dense breast tissue can also
make it harder to see cancers on mammograms.
A number of factors can affect breast density, such as age,
menopausal status, the use of certain drugs (including menopausal hormone
therapy), pregnancy, and genetics.
8)
Having
certain benign breast conditions
Women diagnosed with certain benign (non-cancer) breast
conditions may have a higher risk of breast cancer. Some of these conditions
are more closely linked to breast cancer risk than others. Doctors often divide
benign breast conditions into 3 groups, depending on how they affect this risk.
Non-proliferative lesions: These conditions don’t seem to affect breast cancer risk, or
if they do, the increase in risk is very small. They include:
·
Fibrosis and/or simple cysts
(sometimes called fibrocystic changes or disease)
·
Mild hyperplasia
·
Adenosis (non-sclerosing)
·
Phyllodes tumor (benign)
·
A single papilloma
·
Fat necrosis
·
Duct ectasia
·
Periductal fibrosis
·
Squamous and apocrine metaplasia
·
Epithelial-related calcifications
·
Other tumors (lipoma, hamartoma,
hemangioma, neurofibroma, adenomyoepithelioma)
Mastitis (infection of the breast) is not a tumor and does
not increase the risk of breast cancer.
Proliferative lesions without atypia (cell abnormalities): In these conditions there’s excessive growth of cells
in the ducts or lobules of the breast, but the cells don't look very abnormal.
These conditions seem to raise a woman’s risk of breast cancer slightly. They
include:
·
Usual ductal hyperplasia (without
atypia)
·
Fibroadenoma
·
Sclerosing adenosis
·
Several papillomas (called papillomatosis)
·
Radial scar
Proliferative lesions with atypia: In these conditions, the cells in the ducts or lobules
of the breast tissue grow excessively, and some of them no longer look normal.
These types of lesions include:
Breast cancer risk is about 4 to 5
times higher than normal in women with these changes. If a woman also has a
family history of breast cancer and either hyperplasia or atypical hyperplasia,
she has an even higher risk of breast cancer. Early menarche : Starting menstrual periods early
Women who have had more menstrual cycles because they
started menstruating early (especially before age 12) have a slightly higher
risk of breast cancer. The increase in risk may be due to a longer lifetime
exposure to the hormones estrogen and progesterone.
Late
menopause Going through menopause after
age 55yrs
Women who have had more menstrual cycles because they went
through menopause later (after age 55) have a slightly higher risk of breast
cancer. The increase in risk may be because they have a longer lifetime
exposure to the hormones estrogen and progesterone.
Having
radiation to chest
Women who were treated with radiation therapy to
the chest for another cancer (such as Hodgkin or non-Hodgkin lymphoma) when
they were younger have a significantly higher risk for breast cancer. This risk
depends on their age when they got radiation. The risk is highest for women who
had radiation as a teen or young adult, when the breasts are still developing.
Radiation treatment in older women (after about age 40 to 45) does not seem to
increase breast cancer risk.
What are Lobular carcinoma in situ (LCIS)??
In LCIS,
cells that look like cancer cells are growing in the lobules of the
milk-producing glands of the breast, but they are not growing through the wall
of the lobules. LCIS is not considered to be cancer, and it typically does not
spread beyond the lobule (become invasive breast cancer) if it isn’t treated.
But women with LCIS have a 7 to 12 times higher risk of developing breast
cancer (which can be in either breast).
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