Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast...
Transcript of Understanding Breast Cancer Risk - Thrive · 2018-03-14 · Comparing Risk Factors for Breast...
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UnderstandingBreastCancerRisk KaiserPermanenteEastBay
February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014
1
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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
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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
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Risk is the chance that
something will happen
February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014
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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
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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!
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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
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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
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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
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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
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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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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
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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
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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
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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
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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
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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
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Breast Density is …how your breast tissue looks on mammogram
LOW HIGH February 24, © Kaiser Permanente 2010-2011. All Rights Reserved 2014
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February 24,2014
19 © Kaiser Permanente 2010-2011. All Rights Reserved
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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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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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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
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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
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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
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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
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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
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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
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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
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201429 February 24, © Kaiser Permanente 2010-2011. All Rights Reserved
Limit Alcohol
More Than One Glass of Alcohol Per DayIncreases Breast Cancer Risk
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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
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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
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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
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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
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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
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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