Safe Estrogen: Reduce Your Breast Cancer Risk by 90%
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Choose a degree. Get updates. Give today. Preventive prophylactic mastectomy: Surgery to reduce breast cancer risk. Products and services. Free E-newsletter Subscribe to Housecall Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Sign up now. Preventive prophylactic mastectomy: Surgery to reduce breast cancer risk Prophylactic mastectomy may reduce your risk of breast cancer. By Mayo Clinic Staff. References Surgery to reduce the risk of breast cancer.
National Cancer Institute. Accessed Nov. Breast cancer risk reduction.
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Fort Washington, Pa. Accessed Aug. Rochester, Minn. Carbine NE, et al. Risk-reducing mastectomy for the prevention of primary breast cancer. Cochrane Database of Systematic Reviews. Hunt KK, et al. Annals of Surgical Oncology. Chagpar AB. Contralateral prophylactic mastectomy. Cameron JL, et al. In: Current Surgical Therapy.
Breast cancer in women - Symptoms, diagnosis and prevention
Philadelphia, Pa. Evans DG, et al. Personalized prevention in high risk individuals: Managing hormones and beyond. The Breast.
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Eisemann BS, et al. Risk-reducing mastectomy and breast reconstruction: Indications and evidence for current management strategies.
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Clinics in Plastic Surgery. Kenny R, et al. Mastectomy for risk reduction or symmetry in women without high risk gene mutation: A review.
International Journal of Surgery. Krontiras H, et al. Breast cancer genetics and indications for prophylactic mastectomy. Surgical Clinics of North America. Toledo E, et al. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.
Advertising and sponsorship policy Advertising and sponsorship opportunities. Although the risk of being diagnosed with breast cancer increases with age, the chance of dying from it declines steadily. But the path to early detection and effective treatment isn't always clear for older women; once you've reached 75, there is no hard-and-fast schedule for screening or protocol for treatment.
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Instead, how often you should get a mammogram or the kind of treatment you undergo for early breast cancer is a decision for you to make with your doctor. The guidelines for mammography vary. The U. Preventive Services Task force recommends screening every other year for women ages 50 to It offers no guidance for women 75 and older because there isn't enough evidence to indicate whether the benefits outweigh the risks for women in that age group. Instead, the best advice is to decide whether to continue having regular mammograms based on your health and other preferences. If your life expectancy isn't at least 10 years, it doesn't make sense to get mammograms.
But if you're in great health and may have 25 or 30 years ahead of you, you may want to get mammograms," Dr. Burstein says. For older women, treatment for most early breast cancer is likely to be relatively gentle. Such tumors are treatable with aromatase inhibitors—which cut the body's production of estrogen and include anastrozole Arimidex , exemestane Aromasin , and letrozole Femara —or tamoxifen Genox, Istubal, Nolvadex, and Valodex , which keeps estrogen out of cancer cells.
A major study demonstrated that women over 70 with this type of tumor who were treated with lumpectomy and hormone therapy alone lived just as long as those who underwent radiation as well, although radiation reduced the risk of a recurrence somewhat. Women who have other health conditions may choose to forgo radiation, while those who are healthy may choose to have breast radiation to reduce the risk of a recurrence when they are older and more vulnerable.
A small percentage of older women have cancers that have spread beyond the breast or tumors without hormone receptors, both of which can require chemotherapy. Older women who undergo chemo usually do very well, Dr.