A study at the University of Texas M. D. Anderson Cancer Center in
Houston has enabled researchers to identify risk factors that can
determine whether cancer is likely to occur in a woman's second breast
after cancer is diagnosed in one breast. This study was conducted to indicate which breast cancer patients might benefit from preventive
mastectomy of the second breast, referred to as the contralateral breast.
The study, to be reported in the March 1, 2009 issue of the journal CANCER, included 542 patients who had both breasts removed between 2000 and 2007. Even though only one breast had been diagnosed with breast cancer, the contralateral breast in all 542 patients was removed as a profilactic measure.
Researchers looked at tissue cells from both breasts, the cancerous one and the contralateral, supposedly healthy, breast. However, contralateral
breast tissue confirmed that 5 percent of the patients already had
cancer in that breast and 15 percent more had abnormal cells in
the breast tissue that could lead to breast cancer.
Researchers also looked at clinical factors present at diagnosis of cancer in the first breast. Those in the contralaterally affirmed or high-risk group had certain factors in common in their diagnosed breast:
- cancer cells with highly invasive characterics
- cancer present in more than one quadrant of the breast
- a 5-year Gail score of more than1.67* and
- a chronilogical age of 50 or older and the presense of highly invasive cells at the initial cancer diagnosis.
This study reveals very pertinent and specific information that we should all ascertain from our doctors if a diagnosis of breast cancer is found in one breast. Prophilactic removal of the second breast could mitigate future suffering for many women with breast cancer diagnosis.
*The Gail score is a Breast Cancer Risk Assessment Tool designed to
estimate a woman's rick of developing invasive breast cancer. If you would like to assess your risk, you can use the Breast Cancer Risk Assessment Tool on the National Cancer Institute website.
eScience News; Breast Cancer Risk Assessment Tool: Photo credit: News-Medical.net
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