Breast Cancer Prevention: Current Approaches and Future Directions

The topic of breast cancer prevention is very broad. All aspects of the topic, therefore, cannot be adequately covered in a single review. The objective of this review is to discuss strategies in current use to prevent breast cancer, as well as potential approaches that could be used in the future....

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Main Author: Edward R. Sauter
Format: Article
Language:English
Published: Galenos Publishing House 2018-04-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-cancer-prevention-current-approaches-and-fu/42064
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author Edward R. Sauter
author_facet Edward R. Sauter
author_sort Edward R. Sauter
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description The topic of breast cancer prevention is very broad. All aspects of the topic, therefore, cannot be adequately covered in a single review. The objective of this review is to discuss strategies in current use to prevent breast cancer, as well as potential approaches that could be used in the future. This review does not discuss early detection strategies for breast cancer, including breast cancer screening. The breast is the most common site among women worldwide of noncutaneous cancer. Many clinical and genetic factors have been found to increase a woman’s risk of developing the disease. Current strategies to decrease a woman’s risk of developing breast cancer include primary prevention, such as avoiding tobacco, exogenous hormone use and excess exposure to ionizing radiation, maintaining a normal weight, exercise, breastfeeding, eating a healthy diet and minimizing alcohol intake. Chemoprevention medications are available for those at high risk, though they are underutilized in eligible women. Mastectomy and/or bilateral oophorectomy are reasonable strategies for women who have deleterious mutations in genes that dramatically increase the risk of developing cancer in either breast. There are a variety of strategies in development for the prevention of breast cancer. Personalized approaches to prevent breast cancer that are being developed focus on advances in precision medicine, knowledge of the immune system and the tumor microenvironment and their role in cancer development. Advances in our understanding of how breast cancer develops are allowing investigators to specifically target populations who are most likely to benefit. Additionally, prevention clinical trials are starting to evaluate multi-agent cancer prevention approaches, with the hope of improved efficacy over single agents. Finally, there is a push to increase the use of chemopreventive agents with proven efficacy, such as tamoxifen and raloxifene, in the prevention of breast cancer.
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spelling doaj.art-1581b1768cba4a66ab8a11dcd819b2772023-02-15T16:13:39ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312018-04-01142647110.5152/ejbh.2018.397813049054Breast Cancer Prevention: Current Approaches and Future DirectionsEdward R. Sauter0 University of Connecticut School of Medicine, Farmington, Connecticut, USA The topic of breast cancer prevention is very broad. All aspects of the topic, therefore, cannot be adequately covered in a single review. The objective of this review is to discuss strategies in current use to prevent breast cancer, as well as potential approaches that could be used in the future. This review does not discuss early detection strategies for breast cancer, including breast cancer screening. The breast is the most common site among women worldwide of noncutaneous cancer. Many clinical and genetic factors have been found to increase a woman’s risk of developing the disease. Current strategies to decrease a woman’s risk of developing breast cancer include primary prevention, such as avoiding tobacco, exogenous hormone use and excess exposure to ionizing radiation, maintaining a normal weight, exercise, breastfeeding, eating a healthy diet and minimizing alcohol intake. Chemoprevention medications are available for those at high risk, though they are underutilized in eligible women. Mastectomy and/or bilateral oophorectomy are reasonable strategies for women who have deleterious mutations in genes that dramatically increase the risk of developing cancer in either breast. There are a variety of strategies in development for the prevention of breast cancer. Personalized approaches to prevent breast cancer that are being developed focus on advances in precision medicine, knowledge of the immune system and the tumor microenvironment and their role in cancer development. Advances in our understanding of how breast cancer develops are allowing investigators to specifically target populations who are most likely to benefit. Additionally, prevention clinical trials are starting to evaluate multi-agent cancer prevention approaches, with the hope of improved efficacy over single agents. Finally, there is a push to increase the use of chemopreventive agents with proven efficacy, such as tamoxifen and raloxifene, in the prevention of breast cancer. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-cancer-prevention-current-approaches-and-fu/42064 breast cancerbiomarkerscarbohydratesproteinsdnarna
spellingShingle Edward R. Sauter
Breast Cancer Prevention: Current Approaches and Future Directions
European Journal of Breast Health
breast cancer
biomarkers
carbohydrates
proteins
dna
rna
title Breast Cancer Prevention: Current Approaches and Future Directions
title_full Breast Cancer Prevention: Current Approaches and Future Directions
title_fullStr Breast Cancer Prevention: Current Approaches and Future Directions
title_full_unstemmed Breast Cancer Prevention: Current Approaches and Future Directions
title_short Breast Cancer Prevention: Current Approaches and Future Directions
title_sort breast cancer prevention current approaches and future directions
topic breast cancer
biomarkers
carbohydrates
proteins
dna
rna
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-cancer-prevention-current-approaches-and-fu/42064
work_keys_str_mv AT edwardrsauter breastcancerpreventioncurrentapproachesandfuturedirections