By J. Michael Dixon
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Additional resources for ABC of Breast Diseases, 3rd edition (ABC Series)
10 6 Ethnic group White, San Francisco Japanese American, San Francisco Japanese, Hawaii Japanese, Japan 4 2 0 25 35 45 55 65 75 Age (years) Age at first pregnancy Annual incidence of breast cancer in Japanese women in Japan, Hawaii, and San Francisco, and in white women from San Francisco r ce B Ag rea e 5 st c 8 an as P ca ros nc tat er e A Pa ge 6 ca nc 2 nc re er ati c Ag e5 4 Br e B Ag rea e 5 st c 5 a Br ea st c Ag anc e 3 er Br 4 ea st c Ag anc e 3 er 5 nc er ce r * B Ag rea e 6 st c 0 an ce r * B Ag rea e 4 st c 0 an Up to 10% of breast cancer in Western countries is due to strong genetic predisposition.
Diagnosis is usually possible on core biopsy. Spontaneous infarction, also known as primary gangrene of the breast. In this patient, who had diabetes, the dead tissue was excised on two occasions before the wound eventually healed Factitial disease Artefactual or factitial diseases are created by the patient, often through complicated or repetitive actions. Such patients may undergo many investigations and operations before the nature of the disease is recognised. The diagnosis is difficult to establish but should be considered when the clinical situation does not conform to common appearances or pathological processes.
13) Alcohol intake Several studies have shown a link between alcohol consumption and incidence of breast cancer, but the association may be with other dietary factors rather than with alcohol. Abortion An overview of 53 studies shows no effect of either spontaneous or induced abortion on risk, when abortion history is recorded before diagnosis. 1 for induced abortion, which is attributable to bias in reporting. Mammograms before (left) and after (right) three years of hormone replacement therapy showing increase in density caused by treatment No of invasive breast cancers Smoking Most studies find no excess of breast cancers in smokers that cannot be accounted for by confounding with alcohol.