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1. Breast cancer FAQs: What Florida women — and men — should know about preventive care. Alex Taylor, 37, of Martin County, shares how she found out she had breast cancer while eight months pregnant and shares advice to other women.

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Florida women have been diagnosed at an increasing rate since 2005 CDC: One in 100 breast cancers in the U.S. is diagnosed in a man Only lung cancer kills American women at faster rate than breast cancer. October, Breast Cancer Awareness Month, is over. That doesn’t mean people should lose focus on the disease that infected more than 1.2 million women and killed more than 208,600 women in the U.S. from 2014 through 2018, according to the Centers for Disease Control and Prevention. Anyone — regardless of age, race, genetics and even gender — may develop breast cancer, and preventing, detecting, diagnosing and treating it doesn’t stop when the clock strikes midnight Nov. 1. Drs. Elena Rehl, a breast surgeon at Good Samaritan Medical Center in West Palm Beach, and Craig Wengler, director of breast surgery at Cleveland Clinic Martin Health in Stuart, spoke with the USA Today Network–Florida about how people can take charge of their breast health. How common is breast cancer? If you’re a woman, there’s a 13% chance you’ll develop breast cancer in your lifetime, the CDC says. That’s one in eight American women. Or, think of Jacksonville, Florida’s most populous city at more than 949,600 residents. Nearly 1.4 million women in the Sunshine State will develop the disease. “It’s not a small number,” said Wengler. “However, since we started the screening mammography program back in the 1980s, the overall mortality rate from breast cancer is down by 40%.” While the annual number of fatalities among Florida women increased from 2000 through 2019, according to the Florida Department of Health, the per-capita rate has declined. About 14 women per 100,000 female residents died of breast cancer in 2000, compared to 11 in 2019. From 2014 through 2018, breast cancer killed Black women in the U.S. at a higher rate than any other race or ethnicity. Both the statewide rate and number of new diagnoses increased from 2005 through 2018. Nearly 18,000 Florida women were diagnosed in 2018, when women nationwide were diagnosed at a higher rate than any other cancer. “Men can get it too, but it’s super rare. . If they feel a lump on their breast, they shouldn’t just blow it off, because it could be a cancer,” Rehl cautioned. As for women, “we are all at risk,” she said. Am I at risk of breast cancer? There are two primary drivers of breast cancer, Rehl said: being a woman and aging. The disease is most common in women 50 and older. The CDC highlights these other risk factors which are out of a woman’s control: Genetic mutations, particularly in the BRCA1 and BRCA2 genes, which increase odds of breast and ovarian cancer has such a mutation. If a relative has had breast cancer, the closer they are to you on your family tree, the higher your risk of developing the disease, Wengler explained. And that includes your entire family, he said, noting a common misconception that only maternal relatives are part of the equation. Still, only 5–10% of breast cancers are hereditary, the CDC says. Just as it’s possible for someone without any of the above risk factors to get breast cancer, having one or more of them isn’t a certainty they’ll get cancer. The agency outlines the following risk factors that people, especially women, can change: Lack of physical activity Being obese or overweight after menopause Having a first pregnancy after 30, not breastfeeding or never having a full-term pregnancy Taking certain birth control pills, or some forms of hormone replacement therapy during menopause Alcohol consumption. In addition, the CDC says exposure to carcinogens, and hormonal changes caused by night shift work may increase the risk of breast cancer. “Exercising, maintaining your ideal body weight, not smoking, and minimizing alcohol intake — those are some of the biggest things you could do,” Wengler said, citing an Alcohol Research Group ad campaign called Drink Less for Your Breasts. Breast Cancer Awareness Month is about more than wearing pink ribbons, it's about giving and receiving support. How often should I do a breast self-exam or get a mammogram? Prior to 1983, the American Cancer Society recommended teenage girls begin monthly breast self-exams (BSE) in high school. That guidance applied to women 20 and older until 2003, when monthly BSEs were deemed optional due to a lack of evidence showing they increased early breast cancer detection or survival rates. Since 2015, the society hasn’t recommended BSEs at all. But there’s no harm in adolescents and women — especially those under 40 — performing BSEs as they age, Rehl said. “You don’t have to do a clinical exam, like what a doctor would do, you just have to be aware of your breasts,” she said. “Take note of what is normal for you and if something changes &mldr, see your OB/GYN.” The ACS recommends women 45–54 get a mammogram, or breast X-ray, annually. Those 55 and older should get one every two years. However, it’s optional for women 40–44 and over 54 to get annual mammograms. “If you’re in a high-risk category, then we do additional screening with ultrasound and even breast MRI (magnetic resonance imaging),” Rehl said. “There’s also medications we can use to lower risk. &mldr, but for the average person, the most important thing is doing their mammogram every year.” Click here to find a mammography facility near you. If you do not have health insurance or worry you may be underinsured, the Florida Breast and Cervical Cancer Early Detection Program may be an option. The CDC-funded initiative provides free or low-cost screenings for women 50–64 who meet certain income requirements. The program offered more than 28,800 screenings to more than 14,400 women in fiscal 2018, detecting nearly 300 instances of breast or cervical cancer. Discussing your risk of breast cancer and navigating screening options can be scary, Rehl said. But taking preventive action — and encouraging your loved ones to do the same — can save lives. “It sounds so depressing &mldr, but the reality is if you happen to have a breast cancer, we can take care of it,” she said. “We can treat you and cure you. It’s an interruption to your life, but probably not going to end your life.” Lindsey Leake is TCPalm's health, welfare and social justice reporter. She has a master's in journalism and digital storytelling from American University, a bachelor's from Princeton and is a science writing graduate student at Johns Hopkins. Follow her on Twitter @NewsyLindsey, Facebook @LindseyMLeake and Instagram @newsylindsey. Call her at 772-529-5378 or email her at [email protected].
how to meet a man after 30