Breast Cancer, Breast Ovarian Pancreatic Cancers, Cancer discussed on The Exam Room by the Physicians Committee


So men. You may not even know that you can get breast cancer. Turns out this is. this is fun. So when you're in europe all start out the greater sex. We're all tiny little girl fetuses. And then around week. Six in euro testosterone shows up in ruins everything but the nipples in men have already been made so they stick around and out for the rest of your life and there is a little bit of a breast bud behind those nipples in other words. There's breast tissue that is susceptible to getting breast cancer. So about two thousand. Six hundred seventy men will be diagnosed with breast cancer. This year and five hundred will die so this is kind of a psa to the men in your lives in the men listening that If you ever feel notice discharge think one side of your chest feeling a little odd and off get it checked out you never know but again one in eight women versus one point. Three one hundred thousand men so being female is foreign away. A big risk factor bigger than be next up age so being a female who gets older is also a risk factor. Let's look at age broken down. We just had one in eight gets breast cancer case not one in eight like every day you wake up in your life or read all. Have it by christmas okay. So what is this one and eight actually mean if we break it down by age stratified by decade of life. Have a look here with me. Your current age is in your twenties. The chances of getting breast cancer between the decade of twenty and thirty is one in one thousand four hundred. Seventy nine okay. That's a far cry from one in eight if you are thirty the chances of getting it by age forty or one in two hundred nine forty to fifty one in sixty five fifty to sixty one in forty to sixty to seventy one in twenty eight seventy to eighty ding ding. Ding ding is the highest risk. One in twenty five gets breast cancer and then eighty to ninety one in thirty three. If the whole world were plant based we would have this go on and on until we get to the centenarians and risk between one hundred. Ten and one hundred twenty is now Most people's lifetime risk just kind of peters out between eighty and ninety so all of these at one ins added together landry with one in eight or at four point eight percent risk of getting breast cancer and the risk of dying from breast. Cancer is one in thirty. Nine of all women said the lifetime risk of dying from breast cancer is two point. Six percent are right number. Three risk factor about which you can do nothing. What happened in that family tree of yours. So why are doctors so obsessed with family history and by the way if anyone ever tells you like oh no but that was on your dad's side it doesn't matter i get it. People kind of think like breasts mom breast cancer and they just don't think dad's family history matter batters it completely matters. You are half of your dad's dna. So whatever was going on in that side of the family matters just as much as the maternal line in when there is a strong family. History of breast ovarian pancreatic cancers the possibility of carrying an inherited be that we talked about at the top of this little show segment. Such as brakha goes way up. So how far up let's just use. Brca as an example. If you have this gene mutation your lifetime risk of breast cancer can be as high as eighty seven percent and ovarian cancer up to forty four percent so these are astronomically high numbers and it would be really important for you to know that you might have this genetic predisposition not to wig you out in like what am i going to do about it anyway. I don't wanna take my breasts. Offer my ovaries out. You don't have to. It's a conversation though worth having but we can screen. You owed so much better if we know. You've got this predisposition so in addition to annual mammograms we'd be doing exams twice a year with me screening ultrasound breast. Mri a teach you how to do a good monthly self breast exam so you really just intensified the screening so that heaven forbid if a cancer develops were finding it at its earliest most curable stage so here the red flags for carrying a possible genetic mutation brakha and all of the others. You can kind of just dulcet as young multiple and rare so is happening to young family members with lots of cancer and infrequent ones like pancreatic and ovarian but here's the fullest so to relatives on one side of the family with breast cancer prior to age fifty or ovarian cancer at any age. If you're ashkenazi. Jewish you just need one relative with breast prior to fifty or ovarian at any age. Why is that. That's because everybody running around has a one in five hundred chance of carrying a brca mutation but just being of ashkenazi descent eastern european descent makes it one in forty so you only one relative to really tip us over into a greater than ten percent chance of having a gene mutation which is basically what this list amounts to is ten percent or greater chance if you yourself have had breast cancer prior to menopause or a triple negative sub-type prior to age sixty or you've had two primary breast cancers which means not one that recurred but two totally separate breast cancers if there are any men in the family with breast cancer. Clearly if there's any known genetic mutation that person has a blood line to you than the risk exists if anyone's had pancreatic cancer and on that same side there's also an ovarian or breast cancer and then finally just three or more of the following going on like a whole bunch of cancer. Breast ovarian pancreatic prostate colorectal. Gastric uterine and melanoma. Here's the thing it used to be prohibitively expensive to test for gene mutations in fact just brca testing prior to twenty fourteen was all we had and if you wanted to pay cash for it to avoid potential insurance like insurance discrimination or something it was forty five hundred dollars now literally for two hundred and thirty nine dollars you contest thirty genes in the privacy of your own home so if you're still worried about insurance things by the way you could order this color kit off of pink lotus dot com slash elements and it will be You registered online than it gets mailed to you you spit in a tube and mail it back and you can call yourself wonder woman if you want you can be totally anonymous with it is not going to your insurance company. No one's going to know these results all right so this is just to see if you're listening. Oh about five minutes ago pop quiz. What percentage of breast cancer can be attributed to an inherited genetic mutation such as brakha ending the percentage of breast cancer. That comes because of a gene mutation only five percents Ha magical eighty seven percent. I know exactly what that refers to that is the percentage of women with breast cancer. Who have at least one first degree. Oh don't have a single first degree relative with breast cancer so eighty seven percent breast cancer. Patients don't have any first degree relatives. breast cancer. Thirteen percent had someone mom's sister daughter. All right okay. Okay and that's the answer here. So the percentage of women with breast cancer who have new for chagrin relatives with breast cancer is eighty seven percent so basically what is this all pointing to now so we've got our three uncontrollable risk factors being a woman getting older and having a strong family history..

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