There are a few prevention strategies that can decrease a woman's chance of developing breast cancer. These can be recommended based on the relative risk the woman’s family history and other risk factors place her in.
The average woman can reduce her risk and prevent breast cancer by:
- Eating a healthy diet high in vegetables and low in fat
- Exercising regularly
- Keeping Vitamin D levels normal through sunshine exposure or supplementation
- Not smoking
The woman who has a five-fold increase in risk is one who has a calculated risk (or being diagnosed with breast cancer) that is greater than 1.7 % in 5 years. It is also those women who have a high-risk benign biopsy to include atypical ductal hyperplasia (ADH), atypical lobular hyperplasia (ALH) or lobular carcinoma in situ (LCIS). These women should be aware of their breast self exam, have regularly scheduled mammograms according to guidelines and can use one of two possible medication choices for prevention: Tamoxifen or Raloxifene (Evista). These are agents that reduce the chance of developing breast cancer by 50% but have side effects that must be considered before starting the medication.
The woman at high risk, which is considered 10-fold or greater than 25% risk, needs special attention. If they have been tested for BRCA (the breast cancer gene) and are positive, they have the choice of continued surveillance with breast MRI and physical exam as well as mammography or risk reduction mastectomies (removal of all the breast tissue). These BRCA positive and high risk women should also consider having their ovaries and tubes removed after the age of 35 or when they are done having children.