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Healthy habits to lower your cancer risk

Did you know? Many abnormalities found on a mammogram are not necessarily cancer, but rather are benign conditions like calcium deposits or dense areas in the breast. If the radiologist or a doctor notes areas of concern on a mammogram, The Mayo Clinic says further testing may be needed. This can include additional mammograms known as compression or magnification views, as well as ultrasound imaging. If further imaging is not effective, a biopsy, wherein a sample of breast tissue is taken, will be sent to a laboratory for testing. In some instances an MRI may be taken when mammography or ultrasound results are negative and it is still not clear what’s causing a breast change or abnormality.

Certain types of cancer are more likely to strike certain types of people than others. For example, while men can be diagnosed with breast cancer, women are far more likely to develop the disease. But just because a person’s risk of developing cancer is low, that does not make that person immune from the disease. As a result, it’s important that men and women take steps to lower their cancer risk. One of the more effective ways to lower your risk for cancer is to ensure your lifestyle choices are as healthy as possible. Choosing habits that benefit your shortand long-term health can reduce your risk for cancer and a host of additional ailments. Maintain a healthy weight According to the American Cancer Society, men and women who are overweight or obese are at a greater risk of several types of cancer, including cancer of the esophagus, pancreas, colon and rectum, breast, kidney, and thyroid. The National Cancer Institute defines obesity as someone with a body mass index, or BMI, of 30 or above, while someone with a BMI between 25 and 29.9 is considered overweight. Maintaining a healthy weight or shedding excess weight if you are already at an elevated risk for cancer can lower your risk for cancer and other potentially debilitating diseases, including diabetes, high blood pressure and stroke.

National Breast Cancer Awareness Month: Q & A about mammography From the American Cancer Society and Veterans Memorial Hospital Breast cancer is the leading cancer diagnosed in women in America. This year, more than 220,000 women will learn for the first time that they have this disease and more than 40,000 women will lose their lives. However, when breast cancer is detected early and treated promptly, suffering and

ultimately the loss of life can be significantly reduced. Women are encouraged to ask their doctors and other health care providers about mammography screening. Mammography (an x-ray picture of the breast) is the single most effective method to detect breast changes that may be cancer, long before physical symptoms can be seen or felt. Early detection, followed by up-to-date treatment, provides women with better chances for long-term freedom from the disease. But mammography screening must be done routinely.

As women age, their risk of breast cancer increases. For most women, high-quality mammography screening should begin at the age of 40. As risk factors vary in everyone, the exact frequency of screening should be determined by each woman and her doctor. In addition to mammography, health care providers should also examine a woman’s breasts (clinical breast examination) as part of regular routine health care to search for any abnormalities that may be missed by mammography. And the practice of monthly breast self- examination will alert women to any breast changes that may signal the need for a visit to the doctor. What are the benefits from mammography screening? Mammography screening refers to the routine practice of breast evaluation by “x-ray” in women who have no apparent symptoms of breast cancer. Mammography screening seeks to detect breast cancer at early stages of development, resulting in more treatment options. Treatment of early stage breast cancer is not only more effective but potentially less disfiguring and toxic.

Pictured above is the Veterans Memorial Hospital X-ray Technologists who are “Knocking out Breast Cancer one Mammogram at a time!” Left to right is Kelly Baxter, Renee Stokman, Amanda Leiran and Keisha Coon, pictured with the digital mammography system at the hospital.

Is mammography reliable? In 1992, the U.S. Congress passed the Mammography Quality Standards Act to ensure that

mammography performed at more than 10,000 facilities throughout the country is of high quality and reliable. A certificate issued by the U.S. Food and Drug Administration must be displayed prominently at each facility in order to lawfully perform mammography. The mammography machine at Veterans Memorial Hospital is a state-of-theart digital mammography machine which is also annually inspected by the Iowa Department of Public Health. Will Medicare pay for screening mammograms? Medicare covers mammography screening every year for women age 65 and older. Yet, more than 60 percent of older women do not take advantage of Medicare-covered mammography screening. For more information on Medicare coverage, please call Sheryl Evanson, Pam Herman or Denise Wullner in Financial Services at Veterans Memorial Hospital at (563) 5683411. Mammograms can detect a lump in the breast as small as a pinhead that wouldn’t be detected by human hands for another two years. For additional information on mammography, call the Veterans Memorial Hospital Radiology Department at (563) 568-3411.

Regular physical activity is associated with a reduced risk of certain cancers, including cancers of the breast and colon.

Quit smoking Smokers might be surprised to learn that tobacco use, according to the ACS, is responsible for nearly 20 percent of all deaths in the United States. That might have something to do with tobacco’s role in causing more than a dozen types of cancer and its link to heart disease, emphysema and stroke. But smoking can even harm nonsmokers unfortunate enough to spend time in the vicinity of smokers. Such nonsmokers take in nicotine and thousands of additional chemicals, including carbon monoxide and cadmium, a chemical element used in batteries, when people smoke near them. In addition, a study published in the New England Journal of Medicine found that nonsmokers exposed to secondhand smoke were 25 percent more likely to have coronary heart disease compared to nonsmokers not exposed to smoke. Secondhand smoke is especially harmful to children, as kids whose parents smoke around them get bronchitis and pneumonia more often than kids whose parents abstain from smoking in their presence. Exercise regularly The NCI notes that there is strong evidence that physical activity is associated with reduced risk of certain cancers, including cancers of the breast and colon. More than 60 studies published in North America, Europe, Asia, and Australia have indicated that physically active women have a lower risk of developing breast cancer than inactive women, with

some active women reducing their risk by as much as 80 percent. Studies conducted around the world have produced similar findings with regard to colon cancer. Research has consistently indicated that adults who increase their physical activity, be it in intensity, duration or frequency, can reduce their risk of developing colon cancer by 30 to 40 percent relative to adults who are sedentary. The ACS suggests adults include at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous activity in their weekly routines, though many studies have found that 30 to 60 minutes of moderate to vigorous physical activity per day is the most effective way to reduce cancer risk significantly. Reduce alcohol consumption While many adults may be quick to point out the benefits that a glass of wine can have with regard to a person’s risk of heart disease or stroke, the National Toxicology Program of the U.S. Department of Health and Human Services as recently as 2011 listed the consumption of alcoholic beverages as a known human carcinogen. Alcohol consumption is a major risk factor for various types of cancers, including head and neck cancers, esophageal cancer, liver cancer, and breast cancer. Adults who continue to consume alcohol should do so in moderation, which the ACS defines as no more than two drinks per day for men and no more than one drink per day for women.

B Section | Wednesday, October 19, 2016


Facts about Breast Cancer In 2016, an estimated 246,660 new cases of invasive breast cancer are expected to be diagnosed, along with 61,000 new cases of non-invasive breast cancer (also known as carcinoma in situ). About 40,450 women are expected to die in 2016 from breast cancer, though there has been a decrease in death rates since 1989, with larger decreases in women under 50. These decreases are thought to be the result of treatment advancements, earlier detection through screening, and increased awareness. For women in the United States, breast cancer death rates are higher than death rates for any other type of cancer, besides lung cancer. Except for skin cancer, breast cancer is the most commonly diagnosed cancer among American women. In 2016, it’s estimated that just under 30% of cancers diagnosed in women will be breast cancers. In women under 45, breast cancer is more common in AfricanAmerican women than white women. Overall, African-American women are more likely to die of breast cancer. For Asian, Hispanic, and Native-American women, the risk of developing and dying from breast cancer is lower. As of June 2016, there were more than 2.8 million women with a history of breast cancer in the U.S. This figure includes women currently being treated and women who have finished treatment. A woman’s risk of breast cancer nearly doubles if she has a firstdegree relative (mother, sister, daughter) who has been diagnosed with breast cancer. The most significant risk factors for breast cancer are gender (being a woman) and age (growing older). Facts provided by:

Seven things every breast cancer survivor knows Seven things every breast cancer survivor knows are compiled here by cancer survivor Melissa T. Schultz who is a Dallas area Texan and free lance writer. 1. Your breasts don’t define your femininity. Darryle Pollack of Los Angeles got her diagnosis in 1995, when she was 45. “I spent my first anniversary with my second husband in a luxury hotel where we planned to celebrate,” Pollack said. “Only we didn’t plan on me losing my breast a few days earlier or having postsurgical drains coming out of my breast. Fortunately, he claimed he was a leg man. And he’s proved it in the 20 years since. “Not long after, I removed my other breast as a preventive measure and had reconstruction, but my body rejected the implants. After that, I wore fakes for years but gave them up when I realized they didn’t reflect the authentic me inside. “Today, even without breasts, I feel more satisfied and happier as a woman than ever.” 2. Friends need to stop saying, “Just get rid of them.” Lori Kreitman of Plano was 47 when she learned she had breast cancer in 2011. Before her diagnosis, she thought everyone with breast cancer should have a mastectomy so there’s no worry about a recurrence. When faced with making her own treatment decisions, she learned the truth: Removing breasts is not a guarantee the cancer won’t return. “I realized what a truly personal decision this is,” Kreitman said. Ronna Benjamin of Newton, Mass., couldn’t agree more. Diagnosed this year, at age 56, she was surprised by how many

She was overcome with emotion: “Everything was going great. It made no sense.” Across the table, Rowden saw her husband trying to understand. “He reacted so sweetly and tenderly,” she said. “I’m sure he was thinking, ‘Oh my God, what happened? Did I say something wrong?’”

people told her to “just” remove her breast. She quickly discovered there are no “justs” in the process — there are risks, complications and details many are unaware of, including that after a mastectomy, there’s no feeling in the breast. If the breast is removed from collarbone to rib, there is also no nipple or areola. Any options to replicate them, including tattooing, will not bring the feeling back. “They say to ‘just take it off,’ but my breasts are part of my sexual being and part of sex for me,” Benjamin said. “When someone tells you what you should do, it’s just wrong.” 3. If you want to know the truth about treatment, ask a survivor. Physicians may be reluctant to bring up potential complications from treatment — including phantom pain, infections, swelling, scarring, thickening of the skin and more. But by not mentioning that they can occur, it can be frightening if and when they do — and can lead to emotional decisionmaking. Joy Brown of Mason City, Iowa, was 44 when she learned in 2002 that she had a fast-growing

Breast cancer in men is a rare disease. Less than 1% of all breast cancers occur in men. In 2016, about 2,600 men are expected to be diagnosed with the disease. For men, the lifetime risk of being diagnosed with breast cancer is about 1 in 1,000.

cancer and had to make quick choices about her treatment. Her plastic surgeon, the only one in her small town at the time, showed her post-surgical pictures of “perfect” breasts he’d operated on and said she’d still look the same after hers. That sounded good, but it wasn’t true. “You don’t look or feel the same,” Brown said. “Talk to survivors and to breast cancer advocates about the realities” — even when time is of the essence. Today, there are many online resources to help you find them. 4. Breast cancer in men is not talked about enough. According to, a man’s lifetime risk of breast cancer is 1 in 1,000. “I didn’t even know to look,” said the Rev. Michael Enette of Dallas, diagnosed in 2004 at age 45. Once he learned of his cancer, Enette was hesitant to share the news. “I’m a man and thought it would be embarrassing to tell someone,” he said. In 2006, while Enette was dressed in a pink suit and attending the Joanie Hatcher Memorial Survivor Symposium, women from Sisters Network congratulated him for being there to support his wife. When he told them he was the one with breast cancer, they were shocked, and took him in. Today, he serves as chaplain for their group. 5. You cry at the most unexpected times. Diana Rowden of Dallas learned about her cancer in 1991 at age 38. “About two years after my surgery, my husband and I were at a lovely dinner and having a lovely time, and I suddenly thought, ‘Wow, I could have lost this,’” Rowden said.

6. It’s not over, even when it’s over. Pauline Daniel of Market Deeping, England, was diagnosed in 2014 at age 49. “No one told me how hard ending cancer treatment would be,” Daniel said. “Your life no longer revolves around oncology appointments and blood tests. After months and months of others controlling your health, you’re told, ‘Go and get on with your life.’ People think that you’re through the worst.” But for many survivors, Daniel said, it can be the loneliest time in the process. Especially since the question “Will the cancer return?” is never far from their thoughts. For Martha Todd of Milton, Fla., the cancer did return, twice. She was originally diagnosed in 1996. “When I had my first recurrence, I was told if it came back, there was only one treatment option left,” Todd said. Twelve years later, “there were a plethora of options.” “I’ve learned to keep hope alive,” she said. 7. It’s not just your body that will change. The physical changes are obvious, the stress undeniable, but there is more. Claudia Schmidt of Clinton, N.J., was 52 when she discovered her cancer in 2010. “I knew a life-threatening illness would be impactful, but it was one of the most intense times I’ve ever experienced,” she said. “There was more joy, more clarity, more fear ... the authenticity I felt — to have to be diagnosed with cancer to see that ... I didn’t expect it.” For Pauline Daniel, the woman from England, “Things will never be the same for me again. I’ve been on a journey of self-awareness and learned much about myself — and it’s not all bad.” And for Ronna Benjamin, who’s heading into surgery as this article goes to print, her guiding question, one that is echoed by many survivors, is “What do I want out of life?”

Good news for women with stage four breast cancer A new study from the University of Iowa shows that for some patients with stage IV breast cancer, surgery can significantly prolong their lives. Once breast cancer reaches stage IV, the disease has spread to parts of the body beyond the breasts. Many doctors consider these patients incurable and won’t operate as they don’t want to incur the risks of surgery in an already terminal patient. But it turns out surgery may be worthwhile. The UI study, published in the Journal of the American Medical Association Surgery, looks at more than 21,000 women who were diagnosed with stage IV breast cancer between 1988 and 2001, whose data was tracked by the National Cancer Institute’s Surveillance, Epidemiology, and End Results Program. It shows that 10-percent of women who receive surgery to treat their stage IV breast cancer lived beyond the 10-year mark. Among those who didn’t have surgery, only roughly three percent lived past a decade. “As we think about women diagnosed in 2015, could these numbers be even better?” says Dr. Alexandra Thomas, the study’s lead author. “Imagining today captures really small deposits of metathetic disease. So we might label somebody incurable, whereas in 1995 we might not even have caught that disease because our imagining wasn’t as good.” Thomas cautions that surgery is not appropriate for every stage IV patient, but rather should be looked at as, “a tool on our tool shelf for select patients.”

With 3D Mammography™ we are stronger than ever in the fight against breast cancer. The most advanced mammography technology available. • 41% increase in the detection of invasive breast cancers, compared to 2D. • More comfortable experience, lighter compression and ergonomic design. • Significant reduction in false- positive recall rates by up to 40%. • 3D offers 120 images of each breast, rather than the standard two images. • No additional cost compared to 2D Mammogram.

Cancer Support Group First Meeting

Wednesday October 26, 2016 7:00 pm - 8:30 pm

Schedule your 3D™ Mammogram today 608.357.2244

Future meetings are held the third Wednesday of every month.

Polodna Room, Crossing Rivers Health 37868 US Hwy 18 Prairie du Chien, WI

(Enter through the main entrance)

Crossing Rivers Health Radiologic Technologist team is ready to support you– right here, close to home.

Open to give cancer patients, survivors, caregivers and those who have lost loved ones the support and strength to move forward together.

37868 US Hwy 18 l Prairie du Chien, WI l

You are not alone.

Wednesday, October 19, 2016 | B Section


October is Breast Cancer Awareness Month - more improvement is still needed for early detection BECKY WELPER

RN, ONCOLOGY NURSE AT VETERANS MEMORIAL HOSPITAL An estimated 192,370 new invasive cases of breast cancer are expected to occur among women in the United States during 2010 and about 1,910 new cases of breast cancer are expected in men in 2010. In total, an estimated 40,610 deaths (40,170 women and 440 men) are anticipated from breast cancer in 2010. These numbers have steadily decreased since 1990. The American Cancer Society states the decrease represents progress in both earlier detection and improved treatment. Gender and age are the main risk factors. As age increases, so does the risk for developing breast cancer. The American Cancer Society is encouraging

women to fight breast cancer by taking charge of the personal breast health to reduce other risk factors by taking the following steps: begin monthly self-breast exams at age 20; have a baseline mammogram by age 40, and then a mammogram every year after age 40. Women who do this will find a lump at a much earlier time. The earlier cancer is found, the better the survival rate.

Besides a monthly selfbreast exam, annual breast physical exams by a health care professional and the annual mammogram, women are encouraged to eat healthier.

Their diet should include fruits, vegetables, whole grains and rice and limit fats, sweets, alcohol and totally avoiding tobacco products. Women also need to get plenty of exercise—at least 45 minutes of moderate exercise 5 days a week. Maintaining a healthy weight is also important. Practicing stress management and getting enough sleep each night will keep people healthier and help to recharge their immune system. For more information on breast cancer detection and following a healthy diet, please call Becky Welper, RN, Chemotherapy Coordinator, at Veterans Memorial Hospital at (563) 568-3411. For additional information on mammography, call the Veterans Memorial Hospital Radiology Department at (563) 568-3411 or visit our website at www.

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1 in 8

U.S. women (12%) will develop invasive

BREAST CANCER in their lifetime

Pictured above is the Digital Mammography system at Veterans Memorial Hospital. The process of having a digital mammogram is very much the same as having a conventional screen-film mammogram, but the benefits of digital mammography are many. The Radiology Department at Veterans Memorial Hospital has now extended their hours into the evening to allow for more mammogram appointments to be scheduled after work.


October is National Breast Cancer Awareness Month Tools for Early Detection:

Get your mammogram! Early Detection Saves Lives!

Mammograms -

First mammogram by age 40, and every year following.

Physician-Performed Clinical Breast Exams -

Every 3 years for ages 20-40 and every year after age 40.

Breast Self Examination -

Every month after age 20, 7-10 days after the first day of your period.

Risk Factors Include: Being a Woman.

Women are all at risk for breast cancer.


As we age, our risk for breast cancer increases, with the highest risk being over age 50. Three-fourths of all breast cancer cases occur in women over 50.

Naturally-Occurring Estrogen.

Beginning the menstrual cycle before the age of 12 or entering into menopause after the age of 50 increases your risk of developing breast cancer because of prolonged exposure to naturally-occurring estrogen.


Risk of breast cancer increases if you have never had children or if your first child was born after the age of 30.

Family History.

Those who have had a blood relative diagnosed with breast cancer have an increased risk of developing breast cancer.


A high-fat diet and high alcohol consumption have also been linked to breast cancer.

It is important to consider these risk factors, but it is even more important to realize that 70% of women who develop breast cancer have NO KNOWN risk factors.

Reasons to Get a Mammogram: Every woman has a 1 in 8 chance of developing breast cancer over the course of her lifetime. With early detection, there is a 95% survival rate. Early detection often means less surgery. Getting a mammogram is easier than you think. Having a mammogram once a year helps give you peace of mind.

New Digital Mammography at VMH: Digital mammography produces images that appear on the technologist’s monitor in a matter of seconds with no waiting for film to develop. With digital mammography, the radiologist reviews electronic images of the breast using special high-resolution monitors and can manipulate the images for more clarity to detect signs of cancer even earlier. Digital mammography images can be easily stored in the computer for comparison with your next mammogram, and easily transmitted if needed.

The state-certified digital mammography machine at Veterans Memorial Hospital is operated by six specialized X-ray technologists who perform hundreds of mammograms each year. To make an appointment, call Radiology at (563) 568-3411.

“Exceptional Care by Exceptional People... Right Here at Home”

Veterans Memorial Hospital Waukon, IA • (563) 568-3411

Source: American Cancer Society More information at

B Section | Wednesday, October 19, 2016


Importance of a support system for breast cancer patients A breast cancer diagnosis is the start of an incredibly difficult period for the patient and her family. One important way for a patient to emotionally manage her diagnosis is to be surrounded by a strong support system. Unfortunately, many women who are diagnosed have family and friends spread out across the country, and may not have the cash available to help those loved ones visit. This is one of the reasons why access to financial aid for breast cancer patients is so vital to managing the illness. A strong support team can help a woman feel cared for, supported, and taken care of during this difficult, vulnerable time.

she is free to spend those funds however she sees fit, without restrictions. This means that if she has had a particularly rough week and wants to thank her support team by sending them out for a nice meal, she can. Providing endless compassion when someone is going through cancer treatments isn’t easy, and having the freedom to thank a support team however a patient thinks is best can make that person feel better about themselves and their difficult situation.

People who truly know a patient know when something is wrong Often when a person receives ongoing treatment for cancer, especially in the later stages, it can have detrimental health effects. Unfortunately, some of these are hard to isolate from the disease itself, making it tricky to know when something is wrong with the treatment. Family and friends will know a person well, and can often tell when there are subtle changes in personality, mood, or physical health much faster than physicians can on their own.

Psychiatry isn’t enough For many women diagnosed with breast cancer, financial assistance can often provide the difference between managing the symptoms and struggling with mental health issues. Often she will seek out psychiatric services to help her cope with the emotional impact a breast cancer diagnosis can have, but psychiatry alone may not be enough. There is a support and strength that one can find in her loved ones that a medical professional simply cannot provide. Having these friends and family nearby when she needs them the most is vital to the ongoing mental well-being of someone facing this difficult time in her life.

So that no one faces cancer alone Support group organizes at Crossing Rivers Health “Receiving the news that you have cancer triggers strong emotional responses. I know because I have heard those three words no one ever wants to hearyou have cancer,” shared Christine Carlson of Prairie du Chien. “A cancer diagnosis is life-changing. You and your family are faced with the uncertainty and worry that comes with such a diagnosis. You experience all kinds of emotions: shock, anger, fear and disbelief.” Christine Carlson feels strongly about helping others. She shared, “Every person impacted by cancer has a unique story and experience- whether they have been just diagnosed, going through treatment, or a family member or friend of someone living with cancer. I know that from my own journey- from being someone who’s been there- I can help provide a supportive environment where people will find support and understanding. That’s why I am reviving a Cancer Support Group in Prairie du Chien with the help of others. The group sessions are open to anyone and everyone- all cancer types, and whether you are

a patient, a survivor or a friend or family member of someone with cancer.” The first group session will be held on Wednesday, October 26, 7:00 to 8:30 p.m. Starting in November, regular meetings will be held every third Wednesday of the month at Crossing Rivers Health in Prairie du Chien. Participants may enter the ‘main entrance’ of the medical center and then will be directed to the conference room on the upper level. Tara Nalepinski, Social Worker at Crossing Rivers Health, commented, “It is incredibly heartwarming that Christine is reaching out to others by organizing a cancer support group again in Prairie du Chien. And there are several other individuals that are interested in helping facilitate the support group to help others deal with experiences and challenges presented by cancer and treatment. Those interested in joining the

session are invited to participate in the first session on Wednesday, October 26, starting at 7:00 p.m. I also encourage area residents to help spread the news as the cancer support group reorganizes in Prairie du Chien. If you have any questions, please contact me at 608-357-2000 or Christine at 248-860-1760. Information on this support group and other programs and services available through Crossing Rivers Health is also posted on the website”

Know the benefits of digital mammography Veterans Memorial Hospital’s state-certified, digital mammography machine was the first in the area when it was installed in 2009. This system allows the hospital to offer the latest, stateof-the-art technology to everyone needing a mammogram. The advantages of digital mammography include the following: • Digital mammography produces images that appear on the technologist’s monitor in a matter of seconds with no waiting for film to develop. • With digital mammography, the radiologist reviews electronic

Loved ones can provide compassion As wonderful and caring as physicians are, they are no replacement for the compassion a person finds in their friends and family. Obtaining financial help for breast cancer patients can not only bring her loved ones close to her, but help show appreciation for the compassion and care they provide. When a patient accesses financial help through a cancer financial aid program life FLAG (Funds for Living And Giving),

images of the breast using special high-resolution monitors and can manipulate the images for more clarity to detect signs of cancer even earlier. • Digital mammography images can be easily stored in the computer for comparison with your next mammogram, and if needed, easily transmitted to another medical facility without any loss of information, eliminating the dependence on only one set of original x-ray films. • Another convenience of digital mammography over film-based

systems is it can greatly reduce the need for retakes due to over or under exposure, which potentially saves additional time and reduces your exposure to x-rays. The Radiology Department at Veterans Memorial Hospital has now extended their hours into the evening to allow for more mammogram appointments to be scheduled after work. For more information on digital mammography or to make an appointment, contact the Radiology Department at (563) 568-3411.

Facts about Breast Cancer

October is Breast Cancer Awareness Month

Less than 15% of women who get breast cancer have a family member who has been diagnosed with it. About 5-10% of breast cancers are thought to be caused by inherited gene mutations (abnormal changes passed through families). Mutations of the BRCA1 and BRCA2 genes are the most common. Women with a BRCA1 mutation have, on average, a 55-65% risk of developing breast cancer in their lifetimes. For women with a BRCA2 mutation, the lifetime risk is 45%. An increased ovarian cancer risk is also associated with these genetic mutations.

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Facts provided by:


Breast Cancer Awareness Month

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B Section Breast Cancer Awareness Month