According to official figures, only between 5-10% of breast cancer is caused
by genetic influences. But even though the percentage is relatively low, the
numbers are high enough to warrant many women and men seeking regular checkups.
Yes, men get breast cancer, too. Only about 0.7% as often as women, but it
does occur, killing about 12,000 men per year.
So, simply being female increases the odds of breast cancer relative to men
by 133:1. One leading theory indicates that the most likely cause is the substantially
higher percentage of estrogen and progesterone in females. These hormones play
a role in cell growth and appear to be involved when that growth occurs uncontrollably,
as in breast cancer.
One genetic factor that may not seem genetic at first blush is the increased
risk that comes with aging. Growing older, at what rate and in what way, is
heavily influenced by genetics. Genetics determines the kind of physiology
we have and that in turn plays a prominent role in aging, as researchers in
the field are finding out.
About 17% of invasive breast cancers occur in women in their 40s. But, a whopping
78% of those who contract the disease are in their 50s or older. That shouldn't
be surprising by now. It's commonplace to observe that cancers are more likely
the older one gets. Take care not to turn the statement around, though. It's
not correct to say that 78% of women 50 or older get breast cancer. In fact,
the number is about 1 in 12 or only 8%.
One major genetic risk factor, though, doesn't come from normal genes, but
from gene mutations. The most common mutations are labeled BRCA1 and BRCA2.
The genes affected participate in making proteins that prevent cells from growing
abnormally. Mutations or changes in them alter that ability, opening the gate
to increasing the odds of breast cancer. According to some studies, having
the mutation puts the odds of developing breast cancer at up to 80%.
Those mutations are almost always inherited, not produced by environmental,
diet or other controllable factors. Women who have a mother who have had breast
cancer are therefore at higher risk for developing the condition themselves.
Though, obviously, women don't inherit genes from a sister, having a sibling
that has contracted breast cancer is an indicator of increased risk.
Another gene mutation that may play a role is the ATM (ataxia-telangiectasia
mutation), involving a gene which plays a role in repairing DNA strands. Breast
cancer risk is doubled when yet another, the CHEK-2 gene, mutates. Mutations
in a gene called the p53 increase the odds, since it works to suppress tumor
growth. Fortunately, these are all fairly low likelihood occurrences.
Until gene therapy becomes more advanced, there's nothing a woman or man can
do to alter the genetic endowment they've received. But knowing the risk factors
can provide information that is helpful in prompting diagnosis. Knowing you
have a family history that contains an individual with Cowden Syndrome, for
example, provides incentive to seek early and frequent checkups.
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