Reducing Breast Cancer Risk in Women

1. Front Matter

   Pages i-xvi

   PDF

2. Recognizing Increased Breast Cancer Risk

   1. Front Matter

      Pages 1-1

      PDF

   2. Who Develops Breast Cancer?

      • Basil A. Stoll

      Pages 3-9

   3. Risk from Family History

      • Basil A. Stoll

      Pages 11-18

   4. Childbearing and Related Risk Factors

      • Basil A. Stoll

      Pages 19-28

   5. Risk from Benign Breast Disease

      • Basil A. Stoll

      Pages 29-39

   6. Risk from Age, Race and Social Class

      • Marianne Ewertz

      Pages 41-45

   7. Assessing a Woman’s Genetic Risk

      • David E. Goldgar, Constance M. Goldgar

      Pages 47-54

   8. Ethics and Economics of Genetic Testing for Breast Cancer

      • Robert A. Hiatt

      Pages 55-65

3. Advising the High-Risk Woman

   1. Front Matter

      Pages 67-67

      PDF

   2. Counseling the High-Risk Woman

      • Victor G. Vogel

      Pages 69-80

   3. Mastectomy for Cancer Prevention

      • Mary Jane Houlihan, Robert M. Goldwyn

      Pages 81-89

   4. Trial of Tamoxifen Therapy for Protection

      • Basil A. Stoll

      Pages 91-101

   5. Trial of Vitamin A Analogues for Protection

      • Alberto Costa, Franca Formelli, Rosalba Torrisi, Andrea Decensi

      Pages 103-108

   6. Trial of Low Fat Diet for Protection

      • Rowan T. Chlebowski

      Pages 109-118

   7. Trial of Ovarian Suppression for Protection

      • Darcy V. Spicer, Elizabeth A. Krecker, Malcolm C. Pike

      Pages 119-123

   8. Compliance by High-Risk Women

      • Henry T. Lynch, Jane F. Lynch, Theresa Conway

      Pages 125-131

4. Avoidance of Possible Risk Factors

   1. Front Matter

      Pages 133-133

      PDF

   2. Dietary Guidelines

      • Michelle D. Holmes, David J. Hunter, Walter C. Willett

      Pages 135-144

   3. Risks Associated with Obesity

      • Kathy L. Radimer, Christopher Bain

      Pages 145-153

Breast cancer is not only a burning public issue, but very soon we shall see genetic testing for a woman's predisposition to breast cancer. Many women will be demanding to know their degree of risk and will need counselling to cope with that information. This book is particularly aimed at primary health care professionals, including physicians, medical assistants, nurses and counsellors, who daily deal with questions from women concerned about their risk of developing breast cancer. To answer such questions, this book has combined a guide to identifying women at higher risk to breast cancer, with a balanced review of approaches which aim to reduce that risk. The book provides practical general measures which may reduce risk for women at average risk. For women at clearly increased risk various protective options with different levels of efficacy and acceptability are discussed.
Central to the book is the patient-centered view. We need to face reality that it still will take many years before the current clinical trials of preventive measures provide meaningful results. Meanwhile, women who seek to diminish their risk of breast cancer need all the available information. They must be given full responsibility to make an informed decision on their own health care.
Reducing Breast Cancer Risk in Women is a practical handbook, technicalities have been deliberately kept to a minimum, making it concise and easy to read.

• cancer prevention
• child
• clinical trial
• contraception
• economics
• ethics
• health care
• hormones
• mammography
• prevention
• screening

`The book is ... recommended for general and medical, surgical and radiation oncologists who deal with the treatment of patients with breast cancer, or who are approached by individuals concerned with the risk of the disease.'
Annals of Oncology 6 (1995)

• Oncology Department, St. Thomas’ Hospital, London, UK

  Basil A. Stoll

• Joint Breast Clinic, Royal Free Hospital, London, UK

  Basil A. Stoll

Policies and ethics