26.5.10
Breast Cancer
Breast cancer affects females and rarely males.
The causes of breast cancer in females are not definitely known,but certain risk factors,precancerous conditions and host variable are known to inluence susceptibility to incidence of breast cancer.
Risk Factors:
1.Hormonal disturbance:endogenous and exogenous.Increased estrogen,progesterone or prolactin.
2.Contaceptive pill:proper use is safe(not precancerous,ot risky).Under certain circumstances,however,oral contraception may be potentially risky for development of breast cancer:
-continued,not interrupted,oral contraception for long time,years undefined,may be more than four.
-practice of oral contraception over 35 years of age,may be also risky.
3.Parity:
-multiparas are exposed to more incidence of breast cancer,that usually appears in 40-60 years,specially when regular breast feeding in not fallowed
-practice of breast feeding:mothers not or irregularly practising breast feeding are exposed to milk retention,with more risk of breast cancer
-nulliparous women
-delayed childbearing:women having their first full-term pregnancy at older age,specially after 35,may show somewhat higher incidence of breast cancer.
4.Menstruatio Pattern:
-early menarche(under 12) and late natural menopause(after 50) are associated with little increased incidence
-late menarche at early menopause are associated with lower incidence.
5.Morbidity:
-cancer of one breast increases susceptibility to involvement of the other breast
-cases of cancer body uters show more incidence of breast cancer and cases of breast cancer show increased endometrial cancer.
6.Family history of breast cancer:families having cases of breast cancer show higher incidence of disease.the more intimate the degree of relation,more is the risk.
Prevention:
Primary prevention cannot be precisely given,since cause is not known.Prevention is based on:
-avoiding exposure to risk factors
-early detection and management of precancerous conditions.
Hormonal preparation has to be used only on medical prescription,and under supervision.
For those who use oral pill:
-select the proper pill and dosage
-don't have a continued use,not more than 4 years
-the women over 35 have to not use the pill and use an other method.For womens that use oral contraception,change to some other method after 4 years and then you can come back to pill after some time if is recomandated.