Jeannie Shen M.D., FACS - Click to go home
Jeannie Shen MD - Biography
Jeannie Shen MD - Meet Judy
Jeannie Shen MD - Your Visit
Jeannie Shen - Information
Jeannie Shen - FAQ
Jeannie Shen MD - Videos
Jeannie Shen MD - Links
Jeannie Shen MD - Getting in Touch

U.S News Tops Docs 2012

Breast Cancer Risk Reduction Strategies

WHO IS AT RISK FOR BREAST CANCER?

Being female is the #1 risk factor for developing breast cancer!
Every woman is at some risk for developing breast cancer, and the risk of developing breast cancer increases with age. 

< 40 yo 1 in 207
40-59 yo 1 in 27
60-69 yo 1 in 29
70+ yo 1 in 15
Birth to death 1 in 8

The American Cancer Society estimates that 1 in 8 women will develop breast cancer in their lifetime.

RISK FACTORS FOR BREAST CANCER

Female gender
Older age
Age of menarche
Age of menopause
Prior benign breast biopsies
Prior breast biopsy with atypia
Personal history of breast cancer
Prior history of radiation to the chest wall
Family history*
Diet
Obesity
Exercise
Alcohol consumption
Hormone replacement therapy

Age at first childbirth >30 yo
Breastfeeding

* Most breast cancer is NOT hereditary. Therefore, if you don’t have a family history of breast cancer, you
can still develop breast cancer.  If you have a family history of breast cancer, your breast cancer risk is not necessarily increased significantly.

RISK REDUCTION OPTIONS DEPEND ON YOUR INDIVIDUAL RISK:

  • Hereditary (BRCA gene mutation carrier)
  • “High risk” secondary to risk factors
  • General population (average risk)

DEPENDING ON YOUR INDIVIDUAL RISK, YOU AND YOUR DOCTOR MAY CONSIDER:

  • Closer surveillance
    • Monthly self breast exam
    • Bi-annual clinical breast exam
    • Annual screening mammogram
    • Additional screening breast US or breast MRI

  • “Chemoprevention”
    • Premenopausal – Tamoxifen
    • Post-menopausal – Tamoxifen or Evista

  • Prophylactic surgery
    • Bilateral prophylactic nipple/skin sparing total mastectomies with immediate breast reconstruction
    • Bilateral prophylactic salpingo-oophorectomy (remove fallopian tubes and ovaries)

RISK REDUCTION STRATEGIES FOR THE EVERYDAY WOMAN:

  • Maintain a generally healthy diet
    • Limit saturated fat content to <20-25% of total calories
    • More green leafy vegetables
    • Limit red meat intake to ≤ 3 servings/week
    • Up to 3 servings/day of soy is generally considered safe, and may be beneficial

  • Maintain a healthy body weight
    • Avoid weight gain
    • Lose weight if you are overweight

  • Regular exercise
    • 30 minutes x 5 days/week recommended

  • Limit alcohol consumption
    • Even regularly consuming 1 serving/day can increase your risk over time

  • Limit use of hormone replacement therapy

Signs and Symptoms
Self Breast Examination
Reducing Your Risk
Breast Cancer Myths
Genetic Testing
Diet, Exercise and Breast Cancer
For Patients