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group_4_presentation_1_-_breast_cancer [2017/02/02 23:28]
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group_4_presentation_1_-_breast_cancer [2018/01/25 15:19] (current)
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 ===== ETIOLOGY ===== ===== ETIOLOGY =====
-The exact aetiology of breast cancer is unknown; however, what scientists know for sure is that it is caused by some damage to a cell’s DNA (National Breast Cancer, 2016). It is also known that there are certain risk factors that make some women more likely than others to develop breast cancer. Many of these factors can be controlled, such as a person’s diet and whether or not they smoke and/or consume high levels of alcohol. Consuming a diet high in fats, especially trans fats can induce breast cancer in some individuals,​ as they promote free radicals that can damage DNA and mutate cells (Farvid et al., 2016). ​+The exact aetiology of breast cancer is unknown; however, what scientists know for sure is that it is caused by some damage to a cell’s DNA (National Breast Cancer, 2016). It is also known that there are certain risk factors that make some women more likely than others to develop breast cancer. Many of these factors can be controlled, such as a person’s diet and whether or not they smoke and/or consume high levels of alcohol. Consuming a diet high in fats for example, especially trans fatscan induce breast cancer in some individuals,​ as these fats promote free radicals that can damage DNA and mutate cells (Farvid et al., 2016). ​
  
  
-It is also essential for individuals that smoke to change their habits. Smoking does not only damage an individual’s lungs but it also increases blood clot risks when taking exogenous hormones (Breast Cancer, 2014). As well, smoking cigarettes are seen to cause high levels of toxic material accumulation in the breast tissue. A study by Gaudet et al. assessed the effects of tobacco smoke in lab rodents and found that at least 20 lipophilic chemical compounds contained in cigarettes induced tumours in mammary adipose tissues (2013).+It is also essential for individuals that smoke to change their smoking ​habits. Smoking does not only damage an individual’s lungs but it also increases blood clot risks when taking exogenous hormones (Breast Cancer, 2014). As well, smoking cigarettes are seen to cause high levels of toxic material accumulation in the breast tissue. A study by Gaudet et al. assessed the effects of tobacco smoke in lab rodents and found that at least 20 lipophilic chemical compounds contained in cigarettes induced tumours in mammary adipose tissues, which can have similar effects in humans ​(2013).
  
  
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-Furthermore,​ women that are taking hormones or using contraceptives like birth control put themselves at a higher risk of developing breast cancer than non-users (Chlebowski,​ 2009). Estrogen is shown to facilitate cell proliferation and high levels can aid in the spreading of cancerous cells if the hormone binds to a mutated cell receptor (Kaczmarczyk,​ 2015). Exogenous hormones that can be taken include progesterone and estrogen; where estrogen can be taken by itself or together with progesterone or progestin (a synthetic hormone that mimics effects of progesterone) (Kaczmarczyk,​ 2015). These hormones are similar but not exactly the same in chemical composition to the hormones an individual produces naturally, thus different users may experience different side effects. Some studies have shown that women taking hormones ​like these had a higher chance of developing breast cancer than women that are not using this form of treatment (Chlebowski,​ 2008). ​+Furthermore,​ women that are taking hormones or using contraceptives like birth control put themselves at a higher risk of developing breast cancer than non-users (Chlebowski,​ 2009). Estrogen is shown to facilitate cell proliferation and high levels ​of estrogen ​can aid in the spreading of cancerous cells if the hormone binds to a mutated cell receptor (Kaczmarczyk,​ 2015). Exogenous hormones that can be taken include progesterone and estrogen; where estrogen can be taken by itself or together with progesterone or progestin (a synthetic hormone that mimics effects of progesterone) (Kaczmarczyk,​ 2015). These hormones are similar ​to, but not exact inchemical composition to the hormones an individual produces naturally, thus different users may experience different side effects. Some studies have shown that women on certain hormone therapies ​like these had a higher chance of developing breast cancer than women that are not using these forms of treatment (Chlebowski,​ 2008). ​
  
  
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-Similarly, individuals with a history of breast cancer, higher endogenous sex hormone levels, as well as more environmental exposure to carcinogens also have a higher risk of developing the disease. Environmental carcinogen exposure may play a role in breast cancer development as breast anatomy makes them a susceptible target for chemical carcinogens (Li, 1996). A study by Li et al. showed that the total aromatic DNA adduct levels are higher in adjacent tissues of breast cancer patients (individuals with 100% risk of having breast cancer) than are the levels in normal breast tissue of participants without the disease (Li, 1996). Thus, all these risk factors contribute in increasing the likelihood of some individuals getting breast cancer over others.  ​+Similarly, individuals with a history of breast cancer, higher endogenous sex hormone levels, as well as more environmental exposure to carcinogens also have a higher risk of developing the disease. Environmental carcinogen exposure may play a role in breast cancer development as the breast anatomy makes breasts ​a susceptible target for chemical carcinogens (Li, 1996). A study by Li et al. showed that the total aromatic DNA adduct levels are higher in adjacent tissues of breast cancer patients (individuals with 100% risk of having breast cancer) than are the levels in normal breast tissue of participants without the disease (Li, 1996). Thus, all these risk factors contribute in increasing the likelihood of some individuals getting breast cancer over others.  ​
  
  
-<​box ​90% round | > {{:​screen_shot_2017-02-02_at_10.08.24_pm.png|}} </box| Figure 4 - DeSantis, C., Bray, F., Ferlay, J., Lortet-Tieulent,​ J., Anderson, B., & Jemal, A(2015). International Variation in Female Breast Cancer Incidence ​and Mortality Rates. Cancer Epidemiology Biomarkers & Prevention, 24(10), 1495-1506. http://​dx.doi.org/​10.1158/​1055-9965.epi-15-0535>​+<​box ​45% round | > {{:​screen_shot_2017-02-02_at_11.40.17_pm.png|}} </box| Figure 4 - Breast Less Dense vs Extremely Dense 
 +Retrieved from: Breast Density and Your Mammogram Report(n.d.)https://www.cancer.org/​cancer/​breast-cancer/​screening-tests-and-early-detection/​mammograms/​breast-density-and-your-mammogram-report.html http://​dx.doi.org/​10.1158/​1055-9965.epi-15-0535>​ 
  
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