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AnatomyThe main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ductsIn additionthere is surrounding connective tissuefibrous materialfatnervesblood vessels and lymphatic channels which complete the structureThis is essential to know as most breast cancers develop as small calcificationshardened particlesin the ducts or as small lumps in the breast tissue which then continues to grow into cancerThe spread can happen through lymphatic or blood flow to other organs.
Treatment with tamoxifen lowers the risk of estrogen receptor-positiveer-positivebreast cancer and ductal carcinoma in situ in premenopausal and postmenopausal women at high riskTreatment with raloxifene also lowers the risk of breast cancer in postmenopausal womenWith either drugthe reduced risk lasts for several years or longer after treatment is stoppedLower rates of broken bones have been noted in patients taking raloxifene.
Some women who have a high risk of breast cancer may choose to have a risk-reducing mastectomythe removal of both breasts when there are no signs of cancerThe risk of breast cancer is much lower in these women and most feel less anxious about their risk of breast cancerHoweverit is very important to have a cancer risk assessment and counseling about the different ways to prevent breast cancer before making this decision.
Some risk factors for cancer can be avoidedbut many cannotFor exampleboth smoking and inheriting certain genes are risk factors for some types of cancerbut only smoking can be avoidedRegular exercise and a healthy diet may be protective factors for some types of cancerAvoiding risk factors and increasing protective factors may lower your risk but it does not mean that you will not get cancerDifferent ways to prevent cancer are being studiedincluding:
Early menstruationbeginning to have menstrual periods at age 11 or younger increases the number of years the breast tissue is exposed to estrogenStarting menopause at a later agethe more years a woman menstruatesthe longer her breast tissue is exposed to estrogenOlder age at first birth or never having given birthbecause estrogen levels are lower during pregnancybreast tissue is exposed to more estrogen in women who become pregnant for the first time after age 35 or who never become pregnant.
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