{"id":219,"date":"2019-04-12T15:10:39","date_gmt":"2019-04-12T15:10:39","guid":{"rendered":"http:\/\/nortonhealthcaretest1.flywheelsites.com\/?page_id=219"},"modified":"2025-09-09T11:36:06","modified_gmt":"2025-09-09T15:36:06","slug":"prevention-and-detection","status":"publish","type":"service","link":"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/services\/breast-cancer\/prevention-and-detection\/","title":{"rendered":"Breast Cancer Prevention and Detection"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">According to the American Cancer Society, 1 in 8 women will develop <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/services\/breast-cancer\/\">breast cancer<\/a> in their lifetime. Fortunately, thanks to increased awareness and promising new tests and treatments, survival rates are on the rise. The key is early detection, which leads to faster treatment. That can lead to better outcomes for you. Breast cancer often has no symptoms, so regular <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/breast-health-program\/\">breast health<\/a> checkups are important.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-breast-cancer-prevention\">Breast Cancer Prevention<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">While there is no cure for breast cancer, there are some things you can do that may reduce your risk of developing this kind of cancer. Lifestyle changes, genetic testing and preventive measures can significantly affect your chance of developing breast cancer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to the American Cancer Society, when breast cancer is detected early and is in the localized stage, the five-year relative survival rate is 99%. Early detection includes doing monthly breast self-exams and scheduling regular clinical breast exams and mammograms.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-lifestyle-changes\">Lifestyle Changes<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-diet-and-nutrition\">Diet and Nutrition<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Preventing breast cancer begins with living a healthy lifestyle. Some risk factors, including a family history of breast cancer, cannot be changed. But there are lifestyle changes that can help reduce your risk.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A diet that includes vegetables, fruit, calcium-rich dairy foods and lean protein may reduce your risk of breast cancer. Avoiding red meat and processed meat also may reduce your risk.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-physical-activity\">Physical Activity<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Studies have shown that regular physical activity is linked to reduced risk of breast cancer death. Exercise has a beneficial effect on cancer rates as well as your overall health. Regular exercisers have lower blood pressure, improved sleep and lower resting heart rates. Studies recommend physical activity for at least 150 minutes per week at moderate intensity, or 60 to 75 minutes per week at vigorous intensity. You can meet this target with about 30 minutes per day, five days per week.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-alcohol-consumption\">Alcohol Consumption<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">According to the American Cancer Society, alcohol use is one of the <a href=\"https:\/\/www.cancer.org\/cancer\/risk-prevention\/diet-physical-activity\/alcohol-use-and-cancer.html#:~:text=Breast%20cancer%3A%20Drinking%20even%20small,their%20risk%20of%20breast%20cancer.\">most preventable risk factors<\/a> for cancer, along with tobacco use and excess body weight. Alcohol use accounts for about 6% of all cancers and 4% of all cancer deaths in the United States. For some types of cancer, most notably breast cancer, consuming even small amounts of alcohol can increase risk. Yet many people don\u2019t know about the link between alcohol use and cancer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Researchers don\u2019t know exactly how alcohol affects your cancer risk, but some possible ways include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Damage to cells<ul><li>Alcohol is an irritant, and as your cells try to replace damaged cells, DNA can be replicated incorrectly, which can lead to cancer.<\/li><\/ul><ul><li>Damage from other harmful chemicals<ul><li>It\u2019s possible that alcohol allows harmful chemicals to enter the cells more easily.<\/li><\/ul><\/li><\/ul><ul><li>Preventing cells from absorbing nutrients, such as folate, which cells need to stay healthy<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>Affecting weight\n<ul class=\"wp-block-list\">\n<li>Alcohol has calories that may lead to excess body weight, which is linked to cancer.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Limit your alcohol intake to reduce your risk of breast cancer.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-weight-management\">Weight Management<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Being overweight increases your risk for breast cancer, as well as many other types of cancer. However, the risk is different before and after menopause. It starts with your body mass index (BMI), which is a calculation of your weight relative to your height and can reveal whether you are underweight, normal weight, overweight or obese. Higher weight means higher risk for developing breast cancer after menopause.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After menopause, your breast cancer risk increases by about 12% for every five-point increase on the BMI scale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Extra body weight can affect breast cancer risk through:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Long-term hormone exposure\n<ul class=\"wp-block-list\">\n<li>Estrogen and insulin are two important hormones that encourage cell growth and other functions related to weight. People with higher BMI have more hormones in their bodies for longer periods of time than those with lower BMI. The more rapidly your cells grow and divide, the more likely something can go wrong \u2014 like cancer. Estrogen levels should decrease after menopause, but people who are overweight or have obesity and have gone through menopause still have higher levels of estrogen.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Inflammation\n<ul class=\"wp-block-list\">\n<li>This happens when the body responds to an illness or injury. During this process, the body produces more cells to aid healing. Over time, this extra cell activity can increase the risk of cancer.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">It can be difficult to lose weight, but the benefits to your health are clear:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reduced cardiovascular disease<\/li>\n\n\n\n<li>Better sleep<\/li>\n\n\n\n<li>Decreased inflammation<\/li>\n\n\n\n<li>Improvements in insulin resistance<\/li>\n\n\n\n<li>Lowered risk of certain types of cancer<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Talk to your primary care provider about weight loss and recommendations for your unique situation.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-medications-and-prophylactic-mastectomy\">Medications and Prophylactic Mastectomy<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">There are some medicines that may prevent breast cancer from developing. <a href=\"https:\/\/www.komen.org\/breast-cancer\/risk-factor\/options-for-women-at-high-risk\/drugs\/#:~:text=Tamoxifen%20and%20raloxifene%20are%20the,prevent%20and%20treat%20breast%20cancer.\">Tamoxifen and raloxifene<\/a> are the only Food and Drug Administration-approved drugs for patients who are at a higher risk for breast cancer but who have not had breast cancer. These pills are not chemotherapy, although they can be used with other treatments, including chemotherapy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prophylactic (pro-fuh-LAK\u2019-tik) mastectomy (mass-TEK\u2019-toh-mee) is a surgery to remove one or both breasts. It reduces your risk of developing breast cancer. This is also called a preventive mastectomy or risk-reducing mastectomy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Your health care provider may recommend medications or a prophylactic mastectomy if you have a high risk of developing breast cancer.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-breast-cancer-detection\">Breast Cancer Detection<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-mammograms\">Mammograms<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-early-detection\">Early Detection<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">A mammogram is an X-ray of your breasts. It shows the doctor a detailed look at your breast tissue and can detect cancer, sometimes up to three years before it can be felt with a manual exam. It\u2019s important to have mammograms regularly so your doctor can see any changes over time and catch cancer early and before it spreads. Because a mammogram can detect the disease in its early stages, it is your best defense against breast cancer.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-screening-guidelines\">Screening Guidelines<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Health care is self-care, and scheduling a yearly <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/obstetrics-and-gynecology\/services\/womens-health\/breast-health-and-mammogram\/\">mammogram<\/a> is part of that care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Women who are 40 to 74 years old and are at average risk for breast cancer should get a mammogram every year.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Women who are younger than 40 should talk to their doctor or other health care provider about when to start and how often to get a mammogram. Women should weigh the benefits and risks of screening tests when deciding whether to begin getting mammograms before age 40.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-additional-tests\">Additional Tests<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Self-exams and mammograms are good tools for detecting cancer. Other tests include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Breast ultrasound<\/li>\n\n\n\n<li>Breast MRI scan<\/li>\n\n\n\n<li>Breast biopsy<\/li>\n\n\n\n<li>Immunohistochemistry test to check for hormone receptors<\/li>\n\n\n\n<li>Genetic tests to identify mutations that cause breast cancer<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These tests may be used depending on your health history, age and other factors.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you or a loved one has been diagnosed with breast cancer, it can feel overwhelming \u2014 but consider nearly 4 million Americans are breast cancer survivors. Overall, 91% of people with breast cancer were alive five years after diagnosis. Talk to your doctor about your risk for breast cancer and recommendations to reduce risk. Your health care team will be with you every step of the way, with <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/specialists\">breast health specialist<\/a>s, new <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/services\/breast-cancer\/therapies\/\">treatments<\/a> and <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/patient-resources\/cancer-resource-centers\/\">support<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-breast-self-exams\">Breast Self-exams<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You can do a breast self-exam at home. This helps you understand what your breasts typically look and feel like, so it\u2019s easier to notice changes. It is not a replacement for an annual breast health screening by a doctor. However, about half of all cases of breast cancer in women 50 and older, and almost three-quarters of breast cancer cases in women under 50 are detected by women themselves, according to the American College of Obstetricians and Gynecologists.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When to do a breast self-exam depends on whether you have gone through menopause, but you should do one every month. Before menopause, do an exam about three to five days after your period starts. After menopause, do the exam on the same day of each month.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">About 80% of all detected breast lumps are not cancerous and present no health risk. If you find a breast lump, contact your primary care physician or gynecologist for a complete evaluation.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-how-to-do-a-breast-self-exam\">How to Do a Breast Self-exam<\/h4>\n\n\n<div class=\"wp-block-image my-5\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/breast-self-exam-do-you-know-what-to-look-for.jpg\" alt=\"\"\/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">A breast self-exam should take only a few minutes. First, you will look at yourself in the mirror with your shirt and bra off and your hands at your side.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Look for any breast change \u2014 size, shape or symmetry.<\/li>\n\n\n\n<li>Check the skin for redness, soreness or itchiness, for puckering or dimpling of the skin, for the nipple pulled inward, and for nipple discharge or scabbing over the nipple.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Next, raise your arms over your head with your palms pressed together and look for the same things. Put your hands on your hips and flex your chest muscles and look again.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The next part can be done in the shower when the skin is slippery, or in front of the mirror. Use the pads of the middle three fingers of the left hand to check the right breast, and then vice versa. Use a circular motion about the size of a quarter, varying pressure to feel breast tissue at different depths. Take your time and make sure to check the entire breast. You are feeling for lumps, thick spots, pain or other changes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Finally, check your breasts while you are lying down. With a pillow behind your right shoulder and your right arm behind your head, use your left hand to check your right breast. When you\u2019re done, switch the pillow to your left shoulder and repeat the process with your left breast.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-genetic-screening\">Genetic Screening<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Genetic mutations happen when your cells divide and make new cells. During this process, cells write all the instructions for your body (eye color, height, skin color, and so on) by copying the original gene\u2019s instructions. Mutations occur when there is an error in this copying process. If you have an error, your genetic instructions may not be readable by the cells. It may have missing parts or extra parts. All of this can mean that your cells can\u2019t function as they normally should.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some cancers, such as breast cancer, are caused by specific mutations. These can be discovered with <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/patient-resources\/genetic-counseling-and-testing\/\">genetic testing<\/a>, which looks at a sample of your blood to check the DNA in your cells.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Genetic testing may be recommended if you have:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A strong family health history of breast and ovarian cancer<\/li>\n\n\n\n<li>A moderate family health history of breast and ovarian cancer and are of Ashkenazi or Eastern European Jewish ancestry<\/li>\n\n\n\n<li>A personal history of breast cancer and meet certain criteria (related to age of diagnosis, type of cancer, presence of certain other cancers or cancer in both breasts, ancestry and family health history)<\/li>\n\n\n\n<li>A personal history of ovarian, fallopian tube or primary peritoneal cancer<\/li>\n\n\n\n<li>A known BRCA1, BRCA2 or other inherited mutation in your family<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Family history and genetic testing results do not mean you definitely will or will not develop breast cancer. Genetic testing can guide your decisions, and a genetic counselor will walk you through your test results and possible options.<\/p>\n\n\n\n\n<div class=\"card card-callout    \">\n\t<div class=\"card-body\">\n\t\t\n\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-norton-cancer-institute\">Norton Cancer Institute<\/h2>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-regional-leader-in-cancer-care\">Regional Leader in Cancer Care<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Norton Healthcare is recognized by U.S News &amp; World Report on its \u201cBest Hospitals\u201d list as No. 1 in the Louisville area, with \u201chigh performing\u201d ratings in gynecologic cancer surgery and prostate cancer surgery through Norton Cancer Institute.<\/li>\n\n\n\n<li><strong>First in the world<\/strong>\u00a0to treat a patient with a novel combination therapy for newly diagnosed acute leukemia<\/li>\n\n\n\n<li><strong>First in the world<\/strong>\u00a0to treat a solid tumor patient with ONC-841, a novel immunotherapy drug targeting the SIGLEC-10 immune checkpoint molecule<\/li>\n\n\n\n<li>Recognized for\u00a0<strong>adult oncology<\/strong>\u00a0by\u00a0<strong>Becker\u2019s Hospital Review<\/strong>\u00a0in its \u201c100 Hospitals and Health Systems with Great Oncology Programs\u201d list for 2025<\/li>\n\n\n\n<li><strong>Access to over\u00a0<\/strong><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/services\/current-cancer-clinical-trials\/\"><strong>170 clinical trials<\/strong><\/a>, offering local patients the\u00a0<strong>same leading-edge options<\/strong>\u00a0available at top national centers<\/li>\n\n\n\n<li><strong>Nationally recognized<\/strong>\u00a0center for early phase research, with\u00a0<strong>23 active Phase 1 clinical trials<\/strong>\u00a0underway<\/li>\n\n\n\n<li><strong>Patients from ore than 20 U.S. states and two foreign countries<\/strong>\u00a0have chosen Norton Cancer Institute for innovative cancer care<\/li>\n\n\n\n<li><strong>Only in Kentucky<\/strong>: Home to the state-of-the-art\u00a0<a href=\"https:\/\/nortonhealthcare.com\/news\/on-site-genomic-testing-at-norton-cancer-institute-allows-fast-and-precise-treatment\/\">Norton Cancer Institute Genomics Lab<\/a>, with support from the Norton Healthcare Foundation and Steven Vanover Foundation, enabling highly precise, genetically targeted cancer therapies<\/li>\n\n\n\n<li><strong>Gamma Tile Center of Excellence,<\/strong>\u00a0as well as a\u00a0<strong>two-time Novalis certification<\/strong>\u00a0for setting the standard for stereotactic radiation<\/li>\n\n\n\n<li><strong>Subspecialized, board-certified\u00a0<\/strong><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/specialists\/\"><strong>oncologists<\/strong><\/a>\u00a0leading cancer research and treatment advancements<\/li>\n\n\n\n<li><strong>Same-day or next-day appointments<\/strong>\u00a0for newly diagnosed patients, plus\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/locations\/\"><strong>multiple locations<\/strong><\/a>\u00a0and\u00a0<strong>valet parking<\/strong>\u00a0to facilitate access to care<\/li>\n\n\n\n<li><strong>Multidisciplinary clinics<\/strong>\u00a0to provide same-day, same-location access to multiple specialists for more\u00a0<strong>convenient, coordinated care<\/strong><\/li>\n\n\n\n<li><strong>Fully accredited<\/strong>\u00a0by the American College of Surgeons Commission on Cancer, the National Accreditation Program for Breast Centers and the American College of Radiology<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-care-designed-with-you-in-mind\">Care Designed With You in Mind<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Comprehensive patient support,\u00a0<\/strong>with five Norton Cancer Institute Resource Center locations throughout Louisville and Southern Indiana, a patient navigator program,\u00a0Norton Cancer Institute\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/cancer-care\/patient-resources\/behavioral-oncolology\/\">Behavioral Oncology Program<\/a>, Norton\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/palliative-care\/\">Palliative Care Program<\/a>, classes and events, art and music therapy, genetic counseling, nutrition services, financial counseling,\u00a0<a href=\"https:\/\/nortonhealthcare.com\/patient-resources\/pastoral-care\/\">pastoral care<\/a> and more<\/li>\n\n\n\n<li><strong>Medicare, Medicaid and most major insurances accepted<\/strong>, ensuring broad access to care<\/li>\n\n\n\n<li><a href=\"https:\/\/nortonhealthcare.com\/locations\/specialty-pharmacy\/\"><strong>Specialty pharmacy services<\/strong><\/a>\u00a0offer timely, accurate prescriptions with direct pharmacist-to-provider collaboration<\/li>\n\n\n\n<li><strong>24\/7 access to care tools<\/strong>\u00a0via\u00a0<a href=\"https:\/\/nortonhealthcare.com\/patient-resources\/mynortonchart\/\">Norton MyChart<\/a>\u00a0\u2014 message providers, manage appointments, refill prescriptions and more<\/li>\n\n\n\n<li><strong>The\u00a0<\/strong><a href=\"https:\/\/nortonhealthcare.com\/ways-to-help\/norton-healthcare-foundation\/\"><strong>Norton Healthcare Foundation<\/strong><\/a>, the philanthropic arm of Norton Healthcare\u2019s not-for-profit adult-care services, continuously supporting the purchase of new equipment, programs, education and funding of research to ensure our patients stay up to date with medical advances and technology<\/li>\n<\/ul>\n\n\n\t<\/div>\n<\/div>\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading mt-5\" id=\"h-awards-and-accreditations\">Awards and Accreditations<\/h2>\n\n\n<div class=\"wp-bootstrap-blocks-row row my-5 justify-content-center align-items-center\">\n\t\n\n<div class=\"col-6 col-lg-2 offset-lg-1\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"200\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/radonc-gold-seal-print.png?wsr\" alt=\"\" class=\"wp-image-1164325\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/radonc-gold-seal-print.png 200w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/radonc-gold-seal-print-150x150.png 150w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" 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