Breast Cancer

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Breast Density in Young Women Offers Clue to Later Cancer Risk

April 30, 2009

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By Denise Mann

THURSDAY, April 30, 2009 (Health.com) — Young women with dense breasts—as measured by the percentage of water in their breast tissue—may be at greater risk of developing breast cancer later in life than women with less-dense breasts.

According to a report in Lancet Oncology, breast cancer screening, which women typically start in their 40s and 50s, may be useful when started earlier in life. “The findings may lead us toward characterizing risk earlier then we do now and intervening to prevent breast cancer earlier than we do now,” says lead researcher Norman Boyd, MD, a scientist at the Campbell Family Institute for Breast Cancer Research at Princess Margaret Hospital in Toronto.

In the study, the researchers used MRIs to examine the breast tissue of 400 mother-daughter pairs, including younger women aged 15 to 30. All of the mothers also had mammograms.

The researchers found that the daughters’ breast density as measured by MRI was associated with their mothers’ breast density as measured by mammogram. The researchers also found that the younger the girls were, the greater the breast density and the percentage of water in breast tissue. For example, girls aged 15 to 19 had higher percentages of water in their breast tissue than those aged 20 to 30.

What’s more, the water percentage increased with height. Specifically, for each 5-centimeter difference in height among the daughters, there was a 3% increase in the percentage of water in breast tissue. Some previous studies have suggested that taller women are more likely to develop breast cancer than shorter women.

The link may be due to growth hormone—girls with higher levels of growth hormone are taller and have denser breasts.

Would blocking growth hormone help prevent or treat cancer? “There is evidence from animals and rats that blocking growth hormone may prevent cancer, but there is no direct evidence from humans yet,” Dr. Boyd says. That said, it is possible that measuring growth hormone in the blood of women may help predict future risk of breast cancer, he says.

“We have known for a while that breast density in adult women correlates with higher risk of breast cancer,” explains Marisa Weiss, MD, president and founder of the advocacy group breastcancer.org and the author of several books, including Taking Care of Your Girls: A Breast Health Guide for Girls, Teens, and In-Betweens. “The younger you are, the more dense the breast tissue is and the taller you are, the denser it is. But what we don’t know is if breast density changes,” says Dr. Weiss, who is the director of breast radiation oncology and breast health outreach at Lankenau Hospital in Wynnewood, Penn.

“The study captures just one moment in time,” she says. “We need more studies to understand what breast density means in girls  and whether it changes as they grow.”


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Comments (6)

The following content represents the opinions of Health.com users. It is not editorially reviewed for medical or factual accuracy. It does not constitute medical advice. See your doctor for medical advice.
  • Jan Galtyer

    Your statement RE: the younger you are …the denser your breasts are is definitely true. As I’ve aged I have noticed the density has reduced significantly although I have stayed about the same size. Would it be fair to say: density in young women’s breasts may be related to higher hormone levels?

  • Lisa

    I don’t know if I agree with this, I’m in my late 40′s and I have always had very dense breasts, which makes it very hard to read when I have a mammogram. I hope mammograms get better when my daughter grows up and has to have one.

  • Paula

    I am also in my late 40′s and have dense breasts. I recently had a digital mammography and this greatly improved the clarity of my breast tissue. I would highly reccommend that you specifically ask for a digital screening for your next mammogram. Since this is relatively new technology, you might have to call around to find out who has this kind of machine.

  • lilian stevens

    honestly,i realy needed to know more about this breast cancer and the symptoms because i developed a slight pain on my rigt hand brest since last year, and have not been able to dictect the meaning of it.so please i need to know how to go about it.

  • Jen

    I was just wondering if any of the women reading this who were diagnosed with dense breast actually came down with breast cancer? I just today was diagnosed with dense breast and now am very scared.

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