The association between abortion and breast cancer?
Hello Doctor, I have recently seen several articles indicating that induced abortion may increase the risk of breast cancer (especially before the age of 18), but I have also come across some studies showing no association.
I had two medical abortions at the age of 17, and after marriage, I underwent three induced abortions, all due to the absence of fetal heartbeat, which required termination of the pregnancies.
I currently have two children; my first child was born when I was 27, and my second when I was 33.
I am breastfeeding both (still currently breastfeeding).
There is no family history of hereditary conditions, and I started my menstrual period in the first year of junior high.
I would like to ask the doctor if my risk is high? Does induced abortion truly have an impact? Last month, I had a breast ultrasound, and the doctor mentioned that there is some fluid accumulation in the left breast (one area felt like a hole, but from other angles, it appeared normal and branched).
The doctor said that this would resolve on its own after weaning and is not a tumor, advising me not to worry.
Is this indeed the case? Thank you, Doctor, for taking the time to clarify these concerns!
Dong Dong, 30~39 year old female. Ask Date: 2015/08/20
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Dongdong,
Hello.
1.
There is currently no definitive conclusion regarding whether induced abortion increases the risk of breast cancer; however, large studies conducted in Europe and the United States indicate that induced abortion does not increase the risk of breast cancer.
2.
An increase in ductal structures may lead to some fluid accumulation, and if there are multiple tumors, they can be observed from various angles.
Wishing you peace and health.
Sincerely,
Zhou Jiazhen
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2015/08/20
More Info
The relationship between abortion and breast cancer risk has been a topic of considerable debate and research over the years. It is important to clarify that the current consensus among major health organizations, including the American Cancer Society and the World Health Organization, is that there is no causal link between induced abortion and an increased risk of breast cancer.
Research has shown that while some studies may suggest a potential association, these findings are often contradicted by larger, more comprehensive studies that find no significant correlation. For instance, a large-scale study published in the journal "Cancer Epidemiology, Biomarkers & Prevention" found no evidence that abortion increases breast cancer risk. Furthermore, a review of multiple studies indicated that the risk of breast cancer does not differ significantly between women who have had abortions and those who have not.
In your case, having undergone medical abortions at a young age and subsequently having two children does not inherently increase your risk of breast cancer. The factors that are more strongly associated with breast cancer risk include genetic predispositions (such as mutations in the BRCA1 and BRCA2 genes), family history of breast cancer, age at first menstruation, age at first childbirth, and lifestyle factors such as alcohol consumption and obesity.
Regarding your concerns about breast health, the ultrasound findings you described, such as the presence of fluid in the breast tissue, are often benign and can be related to hormonal changes, especially if you are currently breastfeeding. The "cyst-like" appearance you mentioned is not uncommon and is typically not indicative of cancer. Your healthcare provider's reassurance that this condition is not a tumor and may resolve after weaning is consistent with common clinical observations.
It is also worth noting that breastfeeding has been shown to have protective effects against breast cancer. Women who breastfeed have a lower risk of developing breast cancer compared to those who do not. This protective effect is thought to be due to hormonal changes that occur during lactation, which may help to reduce the risk of breast tissue changes that can lead to cancer.
In summary, based on current scientific evidence, your history of abortions does not increase your risk of breast cancer. Your ultrasound findings are likely benign, and breastfeeding can provide protective benefits. However, it is always advisable to maintain regular check-ups with your healthcare provider and to discuss any concerns you may have about your breast health or cancer risk. Regular monitoring and open communication with your doctor are key components of proactive health management.
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