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Breast Facts

NZ Breast Cancer Facts

Each year approximately 2,400 New Zealand women and approximately 20 men are diagnosed with breast cancer. For every person who is diagnosed, other people are affected including husbands, wives, partners, children, family, and friends. Over a year, this adds up to thousands of people affected.

In New Zealand, women have an average risk of 11% (or 1 in 9) of being diagnosed with breast cancer at some time in their lives. This means the chance that they will never have breast cancer is 89%. As indicated in the following table, the younger a woman is the lower her personal risk 1.

Age Risk

 Age
Risk
Risk Percent
 30s
1 in 204
(0.5%)
 40s
1 in 67
(1.5%)
 50s
1 in 35
(2.8%)
 60s
1 in 33
(3.0%)
 70s
1 in 38
(2.6%)

In addition, recent research from Australia, the United Kingdom and Europe is showing a trend towards a 1 in 8 lifetime risk of a woman being diagnosed with breast cancer; the United States is showing a 1 in 7 risk.

 Who develops breast cancer?

All women have a chance of developing breast cancer at some time during their life. In New Zealand, Maori, Pacific and Asian women tend not to have regular screening mammograms. They tend to wait longer before visiting their doctor or health professional if they have any concerns about their breasts. This means if there is breast cancer, it is often well established by the time their doctor or health professional examines them. As a result, these women are more likely to die from breast cancer than other ethnic groups.

 Diagnosis and deaths per year

With approximately 2,400 women being diagnosed with breast cancer each year, over 40 women will be diagnosed with breast cancer every week. The number of women each year who die from breast cancer is approximately 600 – over 10 women per week.

The following table shows that while the number of people diagnosed with breast cancer is increasing (18% over the last decade), the death rate from breast cancer has decreased by 27.8% from 1987 to 2002 1.

Year

Diagnosed

Deaths

1995

1865

638

1996

1906

631

1997

1990

620

1998

2071

629

1999

2248

646

2000

2300

622

2001

2310

617

2002

2345

625

2003

2297

647

2004

2361

646

What is your risk of developing breast cancer?

The key risk factor for developing breast cancer is:

  • Being a woman and getting older, particularly 50 years of age and over

Other risk factors to be considered are:

  • Family history
  • Previous diagnosis of breast or ovarian cancer
  • Length of exposure to the female hormone oestrogen
  • Lifestyle choices

However, unfortunately breast cancer is unpredictable. A woman may have many breast cancer risk factors, but not develop breast cancer. Then, a woman may be considered at low risk, but still develop breast cancer.

Risk Factors include:

Your age
The risk of developing breast cancer increases with your age. Approximately, 75% of all breast cancers are diagnosed in women 50 years and over. The following table shows women (and a small number of men) diagnosed in 5-year age groups from 1996 to 2003 in New Zealand 2.

 

1996

1997

1998

1999

2000

2001

2002

2003

2004

15-

0

0

1

7

0

0

1

0

1

20-

4

1

2

16

5

3

2

2

1

25-

12

10

11

24

11

10

12

7

8

30-

41

46

38

32

47

45

51

60

41

35-

84

85

99

42

106

104

120

91

90

40-

141

173

175

188

179

192

191

189

188

45-

224

226

267

208

253

227

235

272

277

50-

239

260

241

318

309

344

347

315

343

55-

224

196

239

303

325

315

287

305

274

60-

194

226

185

286

282

288

314

257

286

65-

201

206

218

173

207

212

186

181

253

70-

164

167

178

199

178

174

181

189

175

75-

152

149

179

158

169

162

184

156

157

80-

120

134

125

121

119

129

113

156

122

85+

106

111

113

131

110

105

121

117

146

 

Your family history
About 5-10% of breast cancers can be explained by family history; however, 90-95%, of women who develop breast cancer do not have a family history.

You can be at increased risk of developing breast cancer if you have:

  • Multiple close relatives affected by breast cancer (male or female) or ovarian cancer
  • Younger age at cancer diagnosis in relatives (pre-menopausal)
  • Relatives affected by both ovarian and breast cancer
  • Relatives affected with bilateral breast cancer
  • Ashkenazi Jewish ancestry

There are three categories of risk for family history: They are:

  • At or slightly above average risk (95%)
  • Moderately increased risk (4%)
  • Potentially high risk (1%)

For further detailed information click on:

http://www.nbcc.org.au/bestpractice/resources/BOG182_adviceaboutfamiliala.pdf

Family history does not necessarily imply an inherited genetic cause, as only 1-5% of women diagnosed have a true genetic/hereditary link. This means these women are carriers of an inherited/faulty gene, such as the BRAC1 and BRAC2 genes. If you have inherited a fault in one of these genes, you have a high chance of developing breast or ovarian cancer; however, it does not mean that you are certain to develop either. For further information phone, NZ Genetic Services (free service to NZ residents and citizens):

  • Northern Region 0800 476 123 (toll free)
  • Central Region 0508 364 436 (toll free)
  • Southern Region 0508 364 436 (toll free)

Therefore, it is most important for you to follow the Foundation’s ‘ Priorities in Breast Awareness’ (see enclosed card) even if no one in your family has been diagnosed with breast or ovarian cancer.

 Your hormonal history
Research is showing that there is a link between the length of time a woman is exposed to oestrogen and the development of a breast cancer. As a woman’s ovaries produce oestrogen each month (except during pregnancy and breast feeding), exposure to oestrogen is increased by:

  • Early age at first menstruation (under 12)
  • Late age at first pregnancy (over 35)
  • Having few or no pregnancies
  • Limited or no period of breastfeeding
  • Late age at menopause (over 55)

Hormone Replacement Therapy (HRT)
Hormone Replacement Therapy ( HRT) helps relieve the symptoms of menopause such as hot flushes, irregular heartbeat, and sleeplessness. There is evidence the use of combination HRT will increase your risk of developing breast cancer, particularly if you use HRT for a long time (greater than 4 years). The Foundation recommends you discuss with your doctor or health professional about whether the benefits of using HRT (combination) outweigh any risks in your case. If you are using or are considering using HRT, it is recommended that you have regular mammograms.

Your lifestyle
The way you live may increase your chances of developing breast cancer. For example, research shows if you drink more than one glass of an alcoholic drink every day, you will increase your risk. Alcohol affects the way oestrogen is metabolised in a woman; oestrogen levels are increased. Other lifestyle factors, such as, the effects of stress, high fat diets and a generally sedentary lifestyle may increase your risk of developing breast cancer, as well as other cancers.

Diet and exercise
A high-fat diet and an inactive lifestyle are risk factors for development of breast cancer. You can lower your risk by adopting a healthy lifestyle that includes regular exercise.

A healthy diet and exercise routine begins with:

  • Eating a lower fat, higher fibre diet
  • Using less salt
  • Drinking less alcohol
  • Having low or no caffeine drinks
  • Eating a variety of foods
  • Maintaining a healthy body weight
  • Being physically active on a regular basis

Healthy diet suggestions to lower the amount of fat you eat are:

  • Lower fat milk products (skim or 1%)
  • Cheeses with less than 20% milk fat
  • Lean red meats, fish, and skinless poultry
  • Fresh fruits and vegetables
  • Food prepared with little or no fat

Boost the fibre in your diet with:

  • Breads and cereals (look for multigrain, whole wheat, or wheat bran)
  • Legumes (e.g. baked beans or kidney beans)
  • Fruits and vegetables (if possible leave the skin on)

For further information on healthy nutrition/nutrition and breast cancer, click on:

 

References

1. Bercinskas, L. (2007). Personal communication on the age-specific risks of New Zealand women to be diagnosed with breast cancer during their lifetime. BreastScreen Aotearoa, National Screening Unit, Ministry of Health, New Zealand.

2. Ministry of Health/New Zealand Health Information Service (2006). Mortality and demographic data 2002 and 2003. p.25. Retrieved from The New Zealand National Screening Unit Website on 6 August 2007 at http://www.nzhis.govt.nz/publications/mortality.html

3. National Breast Cancer Centre (2006, February). Advice about familial aspects of breast cancer and epithelial ovarian cancer. Retrieved from The National Breast Cancer Centre Website, Australia on 8 August 2007 at http://www.nbcc.org.au/resources/resource.php?code=BOG


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