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October 19th, 2009 Have A Product Question? CALL US! 1-800-860-9583


 

Breast Cancer Risk Factors
Part 2

with Dr. Chad Larson


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Last week we listed some risk factors for cancer in general, and breast cancer specifically (Read Part 1). This is the continuation of the list that we promised and we have added some common symptoms of breast cancer at the end of this article.



Certain Chemicals and Other Substances

People who have certain jobs (such as painters, construction workers, and those in the chemical industry) have an increased risk of cancer. Many studies have shown that exposure to asbestos, benzene, benzidine, cadmium, nickel, or vinyl chloride in the workplace can cause cancer.

Many chemicals, however, are much more common and daily exposure can be routine. In his book, Exposed, Mark Shapiro makes the case:

...the sheer abundance of toxins to which women are routinely exposed - through cosmetics as well as numerous other products - prompted the Breast Cancer Fund, a nonprofit group of health-care advocates, to assert that as many as one-half of new breast cancer cases cannot be explained by known risk factors, such as genetic predisposition, smoking, or estrogen hormone-replacement therapies. The group claims that chemicals may be a significant contributing factor. A study by the University of Southern California School of Medicine concluded that women who use hair dyes at least once a month for a year are twice as likely to develop bladder cancer than women who do not; those who use it for fifteen years or longer face triple risk. The Center for Environmental Oncology at the University of Pittsburgh Cancer Institute cautions that some substances in cosmetics mimic the female hormone estrogen, and that such additives in hair-care products may be contributing to otherwise inexplicable incidences of breast cancer among African American women (the primary users of such hair treatments) under the age of forty. Other common substances in cosmetics include what a growing number of scientists suggest may be endocrine-disrupting chemicals, mutagens, and reproductive toxins.

So in March 2005, when the seventh amendment to the EU's [European Union] Cosmetics Directive (originally passed in 1976) came into force, requiring that all "products intended to be placed in contact with the various external parts of the human body" would henceforth be subject to scientific review, a message came out of every bottle and tube. The mystery behind beauty products' magic was laid bare: Cosmetics are far more dependent on synthetic chemicals than on natural "essences" of anything. The seventh amendment mandates that chemicals determined to be carcinogens, mutagens, or reproductive toxins - known collectively as CMRs - be removed from cosmetics sold in Europe.

This is not the place to discuss universal health care, but when the government is paying for the health care of its citizens, it is in its best interest to protect the people from exposure to chemicals that may cause harm (and medical expense) in the future.

Some Viruses and Bacteria

Being infected with certain viruses or bacteria may increase the risk of developing cancer:

Human papillomaviruses (HPVs): HPV infection is the main cause of cervical cancer. It also may be a risk factor for other types of cancer.

Hepatitis B and hepatitis C viruses: Liver cancer can develop after many years of infection with hepatitis B or hepatitis C.

Human T-cell leukemia/lymphoma virus (HTLV-1): Infection with HTLV-1 increases a person's risk of lymphoma and leukemia.

Human immunodeficiency virus (HIV): HIV is the virus that causes AIDS. People who have HIV infection are at greater risk of cancer, such as lymphoma and a rare cancer called Kaposi's sarcoma.

Epstein-Barr virus (EBV): Infection with EBV has been linked to an increased risk of lymphoma.

Human herpesvirus 8 (HHV8): This virus is a risk factor for Kaposi's sarcoma.

Helicobacter pylori: This bacterium can cause stomach ulcers. It also can cause stomach cancer and lymphoma in the stomach lining.

Certain Hormones

Doctors may recommend hormones (estrogen alone or estrogen along with progestin) to help control problems (such as hot flashes, vaginal dryness, and thinning bones) that may occur during menopause. However, studies show that menopausal hormone therapy can cause serious side effects. Hormones may increase the risk of breast cancer, heart attack, stroke, or blood clots.

A woman considering menopausal hormone therapy should discuss the possible risks and benefits with her doctor and inquire about bio-identical hormone therapy.

Estrogen

The female hormone estrogen stimulates breast cells. The longer a woman is exposed to estrogen in any form (made by the body, taken as a drug, or delivered by a patch), the more likely she is to develop breast cancer. For example, risk is higher among women who began menstruation at an early age (before age 12), experienced menopause late (after age 55), never had children, or took hormone replacement therapy for long periods of time.

  • The older a woman is when she has her first child, the greater her chance of breast cancer.
  • Women who had their first menstrual period before age 12 are at an increased risk of breast cancer.
  • Women who went through menopause after age 55 are at an increased risk of breast cancer.
  • Women who never had children are at an increased risk of breast cancer.
  • Women who take menopausal hormone therapy with estrogen plus progestin after menopause also appear to have an increased risk of breast cancer.
  • Large, well-designed studies have shown no link between abortion or miscarriage and breast cancer.

Many researchers and doctors believe that long-term (greater than five years) use of oral contraceptives increases the risk of premenopausal breast cancer. In short, the more exposure a woman has had to estrogen, the greater her chance of developing breast cancer.

Later childbearing

Women who have their first child after about age 30 have a greater chance of developing breast cancer than women who have a child at a younger age. The most protection comes from childbirth followed by breast-feeding enough to suppress return of ovulation.

Breast density

Breast cancers nearly always develop in dense tissue (lobes and ducts), not in fatty tissue. That's why cancer is more likely to occur in women who have "dense" breasts than in those with "fatty" ones. Complicating the picture is that abnormal areas in dense breasts are harder to detect on a mammogram.

Alcohol

Having more than two drinks each day for many years may increase the chance of developing cancers of the mouth, throat, esophagus, larynx, liver, and breast. The risk increases with the amount of alcohol that a person drinks. For most of these cancers, the risk is higher for a drinker who uses tobacco.

Doctors advise people who drink to do so in moderation. Drinking in moderation means no more than one drink per day for women and no more than two drinks per day for men.

Poor Diet, Lack of Physical Activity, or Being Overweight

People who have a poor diet, do not have enough physical activity, or are overweight may be at increased risk of several types of cancer. For example, studies suggest that people whose diet is high in fat have an increased risk of cancers of the colon, uterus, and prostate. Lack of physical activity and being overweight are risk factors for cancers of the breast, colon, esophagus, kidney, and uterus.

Common Symptoms of Breast Cancer

A change in how the breast or nipple feels

  • A lump or thickening in or near the breast or in the underarm area
  • Nipple tenderness
A change in how the breast or nipple looks
  • A change in the size or shape of the breast
  • A nipple turned inward into the breast
  • The skin of the breast, areola, or nipple may be scaly, red, or swollen. It may have ridges or pitting so that it looks like the skin of an orange.
Nipple discharge (fluid)

Early breast cancer usually does not cause pain. Still, a woman should see her health care provider about breast pain or any other symptom that does not go away. Most often, these symptoms are not due to cancer as other health problems can also cause them.

Key source: http://www.cancer.gov/


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