Un médecin de la Cleveland Clinic le décompose.
En matière de prévention du cancer, un dépistage précoce et des dépistages réguliers sont essentiels. Il est également important de vous renseigner sur les facteurs de risque et de savoir à quoi faire attention.
Selon une nouvelle étude, de nombreuses femmes ignorent qu’avoir des seins denses augmente leurs risques de développer un cancer du sein. En fait, cela augmente le risque d’une personne de un à quatre fois.
Plus de 2 300 femmes ont été interrogées et interrogées sur leur perception des seins denses comme facteur de risque de cancer du sein. On leur a également demandé si le fait d’avoir des seins denses vous expose à un risque plus élevé que d’avoir un parent atteint d’un cancer du sein, et ce qui peut aider à réduire le risque de développer un cancer du sein.
Les résultats ont montré que les femmes croient que les antécédents familiaux sont le plus grand facteur de risque, et peu pensaient que la densité mammaire augmentait le risque de développer un cancer du sein.
Compte tenu de ce manque de sensibilisation, les auteurs de l’étude notent qu ‘«une éducation complète sur les risques de cancer du sein et les stratégies de prévention est nécessaire».
Pourquoi avoir des seins denses augmente votre risque de développer un cancer du sein
Les seins sont composés de tissu fibroglandulaire (canaux lactifères, lobules et tissu conjonctif) et de graisse. La densité mammaire est utilisée pour décrire la quantité de tissu fibroglandulaire qu’un patient a dans ses seins. Les seins sont considérés comme « denses » s’il y a plus de tissu fibroglandulaire que de graisse, Laura B. Shepardson, MD, MD, MS, et responsable de l’imagerie mammaire à la Cleveland Clinic explique.
Environ 50 % de la population âgée de 50 à 74 ans a un tissu mammaire dense. Et bien qu’il soit clair que les patientes avec un tissu mammaire dense ont un risque 1 à 4 fois plus élevé de développer un cancer du sein que les patientes avec moins de tissu fibroglandulaire, on ne sait pas pourquoi, explique le Dr Shepardson. Une théorie est que les cancers du sein se développent dans les cellules du tissu fibroglandulaire. Par conséquent, il est logique que plus un patient a de tissu fibroglandulaire, plus il y a de cellules à risque de se transformer en cancer.
Une autre raison tout aussi importante pour laquelle la densité mammaire est importante est que les cancers du sein peuvent ne pas bien apparaître sur une mammographie si une femme a un tissu mammaire dense, ajoute le Dr Shepardson. Le tissu fibroglandulaire est blanc sur une mammographie. Étant donné que les cancers sont également blancs, le tissu blanc dense peut « cacher » un cancer du sein, ce qui rend plus difficile pour un radiologue – un médecin qui interprète les mammographies – de le voir.
En relation: Voici les 9 plus grands signes de cancer du sein chez les femmes et quand consulter un médecin
Comment savoir si vous avez des seins denses
La densité mammaire est basée sur l’apparence mammographique et non sur la sensation des seins. Lorsqu’un radiologue lit une mammographie, il attribue la densité mammaire.
Les radiologues classent la densité en utilisant quatre catégories basées sur le pourcentage de tissu fibroglandulaire (blanc sur une mammographie) par rapport à la graisse (gris sur une mammographie) dans le sein, explique le Dr Shepardson. Heureusement, de nombreux États ont maintenant adopté une législation qui oblige les radiologues à informer les patientes si elles ont un tissu mammaire dense.
Étapes d’action pour le dépistage
Il n’est jamais trop tôt pour commencer à parler de la santé du sein avec votre médecin, explique le Dr Shepardson. Elle/il peut passer en revue vos facteurs de risque spécifiques de développer un cancer du sein et, avec votre contribution, adopter une stratégie de dépistage du cancer du sein qui fonctionne pour vous.
« Je conseille à toutes les patientes d’envisager de commencer une mammographie de dépistage annuelle à partir de 40 ans, car les patientes plus jeunes ont tendance à avoir des tissus mammaires plus denses et la détection précoce est essentielle », explique le Dr Shepardson. “Si une patiente sait qu’elle a des seins denses, je lui conseillerais également de discuter avec son fournisseur des autres tests de dépistage, y compris l’échographie du sein entier et/ou l’IRM, qui pourraient lui convenir.”
Prochaine étape : ce sont les différents stades du cancer du sein et ce que chacun signifie
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