Women's Cancer Facts: National
The following information is courtesy of the American Cancer Society, and was last updated on December 13, 2019.
Take control of your health and reduce your cancer risk
- Stay away from tobacco
- Get to and stay at a healthy weight
- Get moving with regular physical activity
- Eat healthy with plenty of fruits and vegetables
- Limit how much alcohol you drink (if you drink at all)
- Protect your skin
- Know yourself, your family history, and your risks
- Get regular check-ups and cancer screening tests
Breast cancer is the most common cancer in American women, except for skin cancers. It can occur at any age, but the risk goes up as you get older. Because of certain factors, some women may have a greater chance of having breast cancer than others. But every woman should know about breast cancer and what they can do to help lower their risk.
What you can do
Finding breast cancer early - when it's small, has not spread, and might be easier to treat - can help prevent deaths from the disease. Getting regular screening tests is the most reliable way to find breast cancer early.
The American Cancer Society recommends the following for women at average risk for breast cancer:
Women ages 40 to 44 should have the choice to start yearly breast cancer screening with a mammogram (x-ray of the breast) if they wish to do so.
Women age 45 to 54 should get mammograms every year.
Women 55 and older can switch to mammograms every 2 years, or can continue yearly screening.
Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.
All women should understand what to expect when getting a mammogram for breast cancer screening - what the test can and cannot do. They should be familiar with how their breasts normally look and feel and report any changes to a health care provider right away.
Women at high risk for breast cancer – because of their family history, a genetic tendency, or certain other factors – should be screened with MRIs along with mammograms. Talk with a health care provider about your risk for breast cancer and the best screening plan for you.
Colon cancer is cancer that starts in the colon or the rectum. Some factors that increase colorectal cancer risk include being overweight or obese, physical inactivity, a diet high in red and processed meats, smoking, heavy alcohol use, being older, and a personal or family history of colorectal cancer or polyps.
What you can do
Regular colorectal cancer screening is one of the most powerful weapons against colorectal cancer. Most colorectal cancers start with a polyp – a small growth on the lining of the colon or rectum. Screening can help to find colorectal cancer early, when it’s smaller, hasn’t spread, and might be easier to treat. Certain screening tests can also help prevent colorectal cancer by finding and removing polyps before they turn into cancer.
The American Cancer Society recommends the following for people at average risk for colorectal cancer:
Men and women should start regular screening at age 45.
People who are in good health and with a life expectancy of more than 10 years should continue regular colorectal cancer screening through age 75.
For people ages 76 through 85, the decision to be screened should be based on their preferences, life expectancy, overall health, and prior screening history.
People over age 85 should no longer get colorectal cancer screening.
- Highly sensitive fecal immunochemical test (FIT) *, or
- Highly sensitive guaiac-based fecal occult blood test (gFOBT) *, or
- Multi-targeted stool DNA test (MT-sDNA) every 3 years*
Visual (structural) exams of the colon and rectum
- Colonoscopy every 10 years, or
- CT colonography (virtual colonoscopy) every 5 years*, or
- Flexible sigmoidoscopy every 5 years*
*If a person chooses to be screened with a test other than colonoscopy, any abnormal test result should be followed up with colonoscopy.
People at high risk of colorectal cancer based on family and/or personal history or other factors may need to: start screening before age 45, be screened more often, or get specific tests. Talk to a health care provider about your risk for colorectal cancer to know when you should start testing.
There are some differences between these tests to consider, but the most important thing is to get screened, no matter which test you choose. Talk to a health care provider about which tests might be good options for you, and to your insurance provider about your coverage
Endometrial cancer is a cancer of the endometrium (the inner lining of the uterus). The risk of endometrial cancer increases as a woman gets older. Things that affect hormone levels, like taking estrogen without progesterone and taking tamoxifen for breast cancer treatment or to lower breast cancer risk can increase a woman’s chance of getting this cancer. Having an early onset of menstrual periods, late menopause, a history of infertility, or not having children can increase the risk, too. Women with a personal or family history of hereditary non-polyposis colorectal cancer (HNPCC or Lynch syndrome) or polycystic ovary syndrome (PCOS), or those who are obese, also have a higher risk for getting endometrial cancer. Women who have had breast cancer or ovarian cancer may also have an increased risk of endometrial cancer.
What you can do
There are no screening tests or exams to find endometrial cancer early in women who are at average risk and have no symptoms. The American Cancer Society recommends that, at menopause, all women should be told about the risks and symptoms of endometrial cancer. Women should report any unusual discharge, spotting, or vaginal bleeding (that’s getting worse, occurring between periods, or happening after menopause) to a health care provider.
The American Cancer Society also recommends that women who have or are likely to have hereditary non-polyposis colorectal cancer (HNPCC or Lynch syndrome) be offered yearly testing with an endometrial biopsy starting at age 35.
Women should talk to a health care provider about their risk for endometrial cancer and about getting regular pelvic exams. It’s important to know the Pap test is very good at finding cancer of the cervix. Sometimes it can find some early endometrial cancers, but it’s not a test for endometrial cancer.
Lung cancer is most often caused by exposure to chemicals and other particles in the air. While smoking tobacco is the leading cause of lung cancer, not all people with lung cancer are smokers. Some may be former smokers, and some have never smoked at all.
What you can do
Not all lung cancers can be prevented. But there are things you can do that might help lower your risk. If you don’t smoke, don’t start, and avoid breathing in other people’s smoke. If you or your loved ones smoke, call the American Cancer Society at 1-800-227-2345 for help quitting.
The American Cancer Society recommends screening for certain people at higher risk for lung cancer. If you are a current or former smoker ages 55 to 74 and in fairly good health, you might benefit from screening for lung cancer with a yearly low-dose CT scan. Talk to a health care provider about your risk for lung cancer, how you can quit smoking if you still smoke, the possible benefits, limits, and harms of lung cancer screening. and where you can get screened.
Chronic infection by certain types of the human papillomavirus (HPV) is the most important risk factor for cervical cancer. You can get HPV through intimate skin-to-skin contact, such as having vaginal, anal, or oral sex with someone who has the virus. Other risk factors for cervical cancer include smoking, having a weakened immune system, having had a chlamydia infection, being overweight, being exposed to or taking certain hormone treatments, and not having regular Pap tests.
What you can do
Avoid smoking and help to protect yourself from HPV by using condoms. The HPV vaccines can protect against certain HPV infections linked to cancer. The American Cancer Society recommends routine HPV vaccination for girls and boys. But, HPV vaccination is also recommended for females 13 to 26 years old who have not started the vaccines, or who have started but not completed the vaccines.
Having regular Pap tests can help find changes in the cervix that can be treated before they become cancer. The Pap test is also very good at finding cervical cancer early, when it’s small, has not spread, and might be easier to treat.
The American Cancer Society recommends the following for cervical cancer screening:
Some women – because of their history – may need to be tested more often. They should talk to a health care provider about their history and risk for cervical cancer.
Anyone can get skin cancer, but people with fair skin are more likely to get skin cancer than people with darker skin. Most basal cell and squamous cell skin cancers are caused by repeated and unprotected skin exposure to ultraviolet (UV) rays from sunlight, as well as from man-made sources such as tanning beds. A type of skin cancer called melanoma is less common than some other types of skin cancer, but is more dangerous because it is more likely to grow and spread. People who have had other types of skin cancers and people with a close family member who had melanoma have an increased risk for melanoma.
What you can do
The most important way to lower your risk of most skin cancers is limiting exposure to UV rays from the sun and other sources like tanning beds. When outside, try to stay in the shade, especially during the middle of the day. If you’re going to be in the sun, wear hats with brims, long-sleeve shirts, sunglasses, and use broad-spectrum sunscreen with an SPF of at least 30 on all exposed skin. If you have children, protect them from the sun and don’t let them get sunburned. Do not use tanning beds or lamps.
Be aware of all moles and spots on your skin, and report any changes to a health care provider right away. You should ask about having a skin exam done during your regular health check-ups.
Although ovarian cancer can occur at any age, it is more likely to occur as women get older. Women who have never had children, or who had their first child after age 35 may be at increased risk for this cancer. Women who have used estrogen alone as hormone replacement therapy are also at increased risk. Women with a personal or family history of hereditary non-polyposis colorectal cancer (HNPCC or Lynch Syndrome), ovarian cancer, or breast cancer are more likely to have a higher risk for ovarian cancer. But women who don’t have any of these conditions or risk factors can still get ovarian cancer.
What you can do
At this time, there are no recommended cancer screening tests for ovarian cancer for women who are not at high risk of developing the disease. A Pap test does not find ovarian cancer, but a pelvic exam should be part of a woman’s regular health exam. There are also some tests that might be used in women who have symptoms or have a high risk of ovarian cancer. You should see a health care provider right away if you have any of these symptoms for more than a few weeks:
Talk to a health care provider about your risk for ovarian cancer and whether there are tests that may be right for you.
How does Vermont Compare?
The following information is courtesy of the Vermont Department of Health and was last updated on December 4, 2018. More information can be found here.
Vermont Women have a higher incidence than the national average in:
- Breast cancer
- Lung and Bronchus cancer
- Uterus cancer
- Melanoma of the Skin
- Non-Hodgkin Lymphoma
- Urinary Bladder cancer.
Women in Vermont have a lower incidence than the national average in:
- Kidney cancer
- Cervical cancer
- Stomach cancer
- Liver cancer
The remaining cancers have a statistically similar occurrence rate in Vermont as they do nationally.