Survival rates are worse when compared to those in older women, and multivariate analysis has shown younger age to be an independent predictor of adverse outcome. Chemotherapy, endocrine, and local therapies have the potential to significantly impact both the physiologic health—including future fertility, premature menopause, and bone health—and the psychological health of young women as they face a diagnosis of breast cancer. Although a diagnosis of breast cancer is distressing at any age, this occurrence in young women is fraught with several unique challenges. This article reviews the distinct epidemiology, etiology, clinicopathologic characteristics, biology, treatment strategies, outcomes, and psychosocial challenges of breast cancer before 40 years of age. Also included in this review are issues of familial breast cancer, fertility, premature menopause, breast cancer during pregnancy, and bone health. The American Cancer Society ACS estimates that , women in the United States were diagnosed with breast cancer in and that 40, women died of the disease during the year.
Please read our information about coronavirus and cancer alongside this page. If you have symptoms of cancer you should still contact your doctor and go to any appointments you have. Spotting cancer early means treatment is more likely to be successful. Read about coronavirus and cancer. My right breast recently became a lot bigger and different shaped- with some strange lumps. I'm not sure if the lumps are meant to be there though. Could it be cancer?
Younger women generally do not consider themselves to be at risk for breast cancer. All women should be aware of their personal risk factors for breast cancer. A risk factor is a condition or behavior that puts a person at risk for developing a disease. There are several factors that put a woman at higher risk for developing breast cancer, including:. For women with a family history that is suggestive of a hereditary predisposition for breast cancer, a referral for genetic counseling may be appropriate.
Although breast cancer in young adults is rare, more than , living in the United States today were diagnosed under age In young adults, breast cancer tends to be diagnosed in its later stages. It also tends to be more aggressive. Young adults have a higher mortality rate. As well as a higher risk of metastatic recurrence return of breast cancer in areas beyond the breast.