October 2006
October is National Breast Cancer Awareness Month
Dear Friend,
According to the American Cancer Society, one in eight women either has or will develop breast cancer in her lifetime. Surprisingly, 1,600 men will also be diagnosed with breast cancer this year. Four hundred men will die. In Hawaii, there will be an estimated 680 new female breast cancer cases diagnosed this year. Awareness and prevention are key factors in fighting this disease. If detected early, the five year survival rate exceeds 95%.
In 1991, the Center for Disease Control and Prevention began a national breast and cervical cancer detection program for low-income women diagnosed with breast cancer and unable to afford treatment. I fought hard for the passage of the Breast and Cervical Cancer Prevention Act of 2000 to provide Medicaid coverage for treatment. I've also consistently supported increased research into breast cancer, especially its environmental causes, at the National Institutes of Health and the Department of Defense.
Although many risk factors may increase your chance of developing breast cancer, it is not yet known exactly what causes particular cells to become cancerous. Some factors, like a person's age or race, can't be changed. Others can be linked to carcinogens in the environment. Still others are related to personal choices, such as smoking, drinking and diet. Some factors influence risk more than others, and your risk for breast cancer can change over time due to aging or lifestyle.
Fortunately, breast cancer death rates are decreasing, most likely due to earlier detection, improved treatment and the benefits of research, education and awareness. Women can, and should, take several simple steps to continue this trend.
Breast Self-Exam: Every woman should examine her breasts once a month to check for physical changes. It is very important for women to become familiar with their breasts and understand what feels normal. Start early, beginning at age 20.
Clinical Breast Exam: Be sure to ask your health care provider to give you a clinical breast exam each year. This consists of checking the breasts for any changes, lumps, or other possible warning signs of breast cancer through physical touch and appearance. You should begin having clinical breast exams in your 20s and 30s.
Mammography: Beginning at age 40, all women should have an annual mammogram, an "x-ray" of the breast and the most effective method of detecting breast changes that may be cancer long before physical symptoms can be seen or felt. It is a good idea to have a baseline mammogram at age 35.
Some other common sense prevention tips include a low fat diet, regular exercise and not smoking. And if you suspect you are at high risk for the disease, talk to your health care provider.
We can all do our part in further reducing the incidence of breast cancer by knowing our risks, getting screened and talking with our family and friends about prevention.
Aloha,

Neil Abercrombie
Member of Congress