Sunday 11 December 2011

Women and Breast Cancer

Cancer is the second leading cause of death among American women (heart disease is the murderer number one).

Since 1987, lung cancer has been the top cancer killer among American women, with an estimated 65.700 deaths in 2002. In the past 10 years, the rate of lung cancer mortality has declined in men but has continued to rise in women. These alarming trends are recognized by women and is almost entirely due to increased smoking rates in women.


It is estimated that there will be 79,200 new cases of lung cancer in women in 2002, representing 12% of cancer diagnoses. Since 1987, more women have died each year from lung cancer than breast cancer, which for over 40 years, was the leading cause of cancer death in women.

Breast cancer
is the second leading cancer killer (after lung cancer) among women. However, even though lung cancer kills more women each year than does breast cancer, there are more new cases of breast cancer each year of lung cancer. The estimated lifetime probability of breast cancer for women is now 1 in 8, compared to the lifetime risk of lung cancer of 1 in 17.


The incidence of breast cancer has increased steadily over the past 50 years, from 25.3 percent between 1973 and 1992. An estimated 203.500 new cases of invasive breast cancer expected to occur among women in the United States during 2002. It is estimated that there will be 39,600 deaths of women from breast cancer in 2002.

Women who develop breast cancer when they are under 45 years of age have a survival rate at 5 years for 79%. This rate increases to 84% for women aged 45 to 64 and 87% for women 65 and older. The survival rate at 5 years for Hispanic women is lower than the rate for Caucasian women in the age categories.

The incidence of breast cancer increased steadily from 1940 to 1990, and then stabilized at around 110 cases per 100,000 women. With the increased use of mammography screening, breast cancer is increasingly detected earlier in their development when they are most treatable. This early detection, along with improved treatment has led to a decrease in death rates from breast cancer. Between 1990 and 1994, mortality from breast cancer decreased by 5.6 percent. This decline was most pronounced among white women (-6.1%) than among African American women (-1%).


The incidence and mortality from breast cancer increase with age. About 80 percent of breast cancers occur in women 50 years or more. Seventy-seven percent of new cases and 84% of breast cancer deaths recorded between 1994-1998 occurred in women over 50 years. For all races combined, for the period 1994-1998, women aged 20-24 had a rate of age-specific incidence of only 1.5 cases per 100,000 women 75 to 79 had the highest incidence rate , 489.7 cases per 100,000.
After 40 years of age, white women are more likely to be diagnosed with breast cancer than black women. With the exception of black women between the ages of 20-24 years, black women under age 40 have a slightly higher incidence than white women. Black women are more likely to die from breast cancer than white women. The incidence and mortality rates from breast cancer are generally lower among women of other racial and ethnic groups in the black and white women.

The percentage of women age 40 and over who report they have not had a mammogram in the past two years has been declining over the last decade. Data from the Centers for Disease Control Surveillance System Behavioral Risk Factor across the country by the year 2000 show that about 29 percent of women aged 40-49, 19 percent of women 50-64 years, and about 23 percent of women over 65 said they had not had a mammogram in the past two years.

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