A COMPLEX update has been shared by the American Cancer Society concerning breast cancer trends, including breast cancer diagnosis, in the U.S. Encouragingly, breast cancer deaths have declined by 44% since 1989, thanks to advancements in early detection and treatment. On the other hand, the incidence of new cases has risen by about 1% annually from 2012 to 2021, particularly among younger females and minority groups.
The rise in breast cancer diagnoses among women under 50 is largely driven by increased detection of hormone receptor-positive and early-stage cancers. Asian American/Pacific Islander women, in particular, have experienced the sharpest increase, echoing trends seen in other cancers like colorectal cancer.
Despite overall improvements in survival, racial disparities in breast cancer outcomes remain significant. Black women are 38% more likely to die from breast cancer than White women, even though they are less likely to develop the disease. This alarming statistic is attributed to a higher prevalence of aggressive cancer types, such as triple-negative breast cancer, and barriers to early detection and access to care.
Doctors are encouraged to address these disparities by promoting early screening and improving access to quality care for all populations, especially vulnerable minority groups. Preventive measures like maintaining a healthy weight, limiting alcohol consumption, and discussing genetic risks can also help lower the chance of developing breast cancer.
For healthcare providers, the challenge is clear: while progress has been made, a targeted focus on early detection and reducing racial inequalities is critical to improving outcomes for all women.
Reference: Giaquinto AN et al. Breast cancer statistics 2024. CA Cancer J Clin. 2024;1-19.
Anaya Malik | AMJ
