Breast cancer is on an alarming rise in the world and in India. With 178361 new cases and 90408 deaths in 2020, it is the most commonly occurring cancer in Indian women today. The scenario is complicated by delayed diagnosis, irregular and suboptimal treatment and a resultant unacceptably high death rate.
A risk factor is something that increases the chances of getting the disease. Breast cancer is multifactorial, many risk factors can influence one’s risk of getting breast cancer over the course of a lifetime. Many of these factors cannot be changed like increasing age, positive family history, while many can be effectively controlled like obesity, alcohol intake etc.
Reducing these risk factors can lower your risk of getting breast cancer. Women who are known to be at increased risk for breast cancer, can adopt additional steps that might reduce the risk of developing breast cancer.
There is no fool proof way to prevent breast cancer. Your best defence against breast cancer is adopting risk reducing strategies, early diagnosis and optimal treatment.
Lifestyle factors are known to modify risk among high-risk women with a family history and those with normal risk of the general population. However, their effects among women with BRCA mutations are not well defined.
Studies estimate that successful lifestyle changes could prevent 25% to 30% of cases of breast cancer. These reductions will only be achieved if we can implement prevention programs specifically aimed at high-risk women and women in population-based breast screening programs during their childhood, adolescence, and early adulthood. This the time of rapid development of the breast, when it is particularly susceptible to carcinogenesis or cancerous transformation.
Lifestyle is a dynamic process, bringing in lifestyle changes may need change in attitude and commitment to adopt risk reducing steps. These changes will have to be adapted to the various stages of your life and will not always be static. To begin is important but to persist is more effective.
The World Cancer Research Fund/American Institute for Cancer Research (2007) and the ACS (2012) have produced guidelines for prevention of a range of cancers that focus on weight control, regular exercise, reduced alcohol consumption, and a plant-based diet. The same measures play a significant role in reducing the lifestyle related cardiovascular disease risk in women.
Lifestyle changes help reduce the risk of getting breast cancer in all women, especially so in women at high risk. Adopting these lifestyle measures can also help breast cancer survivors have a better quality of life and longer survival.
The World Cancer Research Fund/American Institute for Cancer Research (2007) and the ACS (2012) have produced guidelines for prevention of a range of cancers that focus on weight control, regular exercise, reduced alcohol consumption, and a plant-based diet. The same measures play a significant role in reducing the lifestyle related cardiovascular disease risk in women.
If you are at increased risk for breast cancer (for instance, because you have a strong family history of breast cancer, a known inherited gene mutation that increases breast cancer risk, such as in the BRCA1 or BRCA2 gene, or you have had DCIS), there are some things you can consider that might help lower your chances of developing breast cancer or help find it early.
A specialist breast surgeon or oncologist along with a medical geneticist can help you determine your risk of breast cancer, as well as which, if any, of these options might be right for you.
While you may not be able to prevent breast cancer by this approach, it might help find it early, when it’s likely to be easier to treat.
Its not always easy to implement these changes. It involves a lot of self-care, think of how you would want your daughter, your sister, your friend to take care of herself. You also deserve the same care.
Begin today, share your knowledge and experience with other women. Together we can reduce the breast cancer risk in our community.