Breast Cancer - Moose and Doc

A breast cancer explanations website

 

May 6, 2019 By Dr. Halls

Breast Cancer and Age Groups

This post examines breast cancer characteristics  by age group, in a 1998 sample.

The statistics here relate to the characteristics of the cancer at the time of first diagnosis.  The average tumor size appears to stay about the same, regardless of age group.

This would seem to indicate that women may tend to notice breast cancer only when the a tumor of a certain size is present, underlining the need for regular screenings.

I just want to let you know that this page, and the table below are still great for research material, and I would still use it. However, it is now a little old, so I have decided to create a newer version of this page with more up-to-date information on Clinical Characteristics of Breast Cancer.

Table of Statistics for Breast Cancer and Age

40-49 50-59 60-69 70+ all ages
number % number % number % number % number %
numbers of cancer invasive 222 68.1 1,037 77.9 1,131 83 797 83.4 3,187 80.2
DCIS * 104 31.9 292 22.1 231 17 159 16.6 788 19.8
TNM stages 0 ( in situ) 104 31.9 292 22.1 231 17 159 16.6 788 19.8
I 136 41.7 475 35.7 568 41.8 404 42.4 1,585 39.9
II 69 21.2 222 16.7 205 15.1 114 12 610 15.4
III+ 12 3.7 31 2.3 25 1.8 15 1.6 83 2.1
Invasive 5 1.5 307 23.1 329 24.2 261 27.3 902 22.7
Tumor size (invasive only) <or= 5mm 19 8.8 82 8.5 87 8.2 51 6.7 239 8.0
6-10mm 45 20.8 255 26.5 336 31.7 265 35 901 30
11-15mm 66 30.6 265 27.5 308 29.1 202 26.7 841 28.1
16-20mm 42 19.4 179 18.6 165 15.6 124 16.4 510 17
21+ mm 44 20.4 182 18.9 163 15.4 115 15.2 504 16.9
(#unknown) (6) (74) (72) (40) (192)
median tumor size 14mm 13mm 12mm 12mm 13mm
Positive nodes (invasive only) 0 150 75 704 78 762 78.6 520 84.4 2,136 79.5
1-3 39 19.5 147 16.3 156 19.1 67 10.9 409 15.2
4+ 11 5.5 51 5.7 51 5.3 29 4.7 142 5.3
(# unknown) (22) (135) (162) (181) (500)

Notes on the above table about Breast Cancer and Age

DCIS refers to ‘ductal carcinoma in situ‘. For this condition, cells lining the milk ducts are cancerous, but stay contained within the ducts without growing through into the surrounding breast tissue.

DCIS can affect just one area of the breast, but can be more widespread affecting different areas at the same time. DCIS is sometimes informally referred to as

  • pre-cancerous,
  • pre-invasive
  • non-invasive
  • intraductal cancer.

ductal-carcinoma-cells

The number of women diagnosed with stage III and IV continues to be rather high, in spite of widespread screening programs. Possibly this is because a certain subgroup of the general population do not make use of early detection screening programs, for a variety of mostly socio-economic reasons.

However, women above the age of 45 consistently have a much lower incidence rate of later stage breast cancer at time of first diagnosis.  Also, this tends to be the time of greatest compliance to breast cancer screening programs.

There is also some suggestion that the reduced use of hormone replacement therapy beyond a certain age also leads to lower stage tumors at the time of diagnosis.


Further Reading


  • Breast Cancer Staging:  Index of Posts
  • Breast Cancer Incidence and Survival: Index of Posts
  • Lifetime risks for Breast Cancer that you can NOT change
  • Risk factors for Breast Cancer that you CAN change

Return to Homepage

References

  • Minister of Public Works and Government Services in Canada, Organized Breast Cancer Screening Programs in Canada,1997-1998, p.21.
  • Haque, R., Schottinger, JE., Kanter, MH, Avila, CC., Contreras, R., Gordon, MA. Quinn, VP. Frequency of late-stage breast cancer diagnoses despite high mammography screening rates in an HMO. J Clin Oncol (2009)27:15s, 2009 (suppl; abstr 1526)
  • Hahn, KM., Bondy, ML, Selvan, M., Jund, MJ., Liff, JM., Flagg, EW., Brinton, LA., Porter, P., Eley, JW., Coates, RJ. Factors Associated with Advanced Disease Stage at Diagnosis in a Population-based Study of Patients with Newly Diagnosed Breast Cancer. American Journal of Epidemiology. (2007); 166(9):1035-1044.
  • Henson DE, Chu KC, Levine PH. Histologic grade, stage, and survival in breast cancer. Cancer (2003) 98:908-17.
  • Arndt, V., Sturmer, T., Stegmaier, C., Ziegler, H., Dhom, G., Brenner, H. Patient delay and stage of diagnosis among breast cancer patients in Germany – a population based study. Br J Cancer. (apr. 2002 ) 86(7): 1034–1040.
  • Jemal A, Ward E, Thun MJ.Recent trends in breast cancer incidence rates by age and tumor characteristics among U.S. women.Breast Cancer Res. 2007;9(3):R28.

About Steven Halls

Dr Halls has 25 years experience as a radiologist. He worked for 13 years at Cross Cancer Institute in Edmonton, a world-class cancer treatment facility. He has had high-volume experience with cancer, interventional procedures, clinical trials and his own phase 1 and 2 research in MRI and breast cancer staging.

 

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