Rising Breast Cancer Cases Among Young Women Highlight Urgent Need for Early Detection

Doctors at Amrita Hospital, Faridabad have reported a troubling rise in breast cancer cases among women in their 20s and 30s, challenging the traditional view that this disease primarily affects older women. Breast cancer, which was once predominantly diagnosed in women over 50, is now emerging as a serious concern among younger populations, raising new challenges in diagnosis, treatment, and prevention.

Globally, breast cancer has become the most common cancer in women, with 2.26 million cases recorded in 2020. In India, breast cancer represents 30 per cent of cancers among young adults. Experts suggest that genetic factors are the primary risk for younger women, but lifestyle choices also play a significant role.

Dr. Shiveta Razdan, Consultant, Breast Oncology at Amrita Hospital, highlighted the dual influence of modifiable and non-modifiable factors in increasing breast cancer risk. "Modifiable factors include obesity, high-fat diets, nulliparity, use of contraceptive pills, and alcohol consumption," she explained. "Non-modifiable factors include a woman’s sex, early menarche, late menopause, and hereditary cancer."

Dr. Razdan also noted the impact of smoking and alcohol on breast cancer risk, stating, "Heavy smoking or consuming even one alcoholic drink per day can raise breast cancer risk by 30 to 50 per cent." She added that prolonged use of oral contraceptives also poses risks, with effects persisting up to a decade after stopping their use.

While awareness and societal changes have improved early detection, many young women in India still lack access to proper screening services. Unlike Western countries with early detection rates of 80 per cent, India sees only 40 per cent of breast cancer cases diagnosed early, often leading to more complex treatments and poorer outcomes. Treatment for young patients usually involves surgery, chemotherapy, radiation, hormonal therapy, and targeted therapy, reflecting the aggressive nature of cancer in this group.

Dr. Saphalta Baghmar, Senior Consultant, Medical Oncology at Amrita Hospital, emphasized the importance of preventive measures. "Women should start self-breast examinations early and have annual or biennial mammograms from age 35 to 40," she advised. "Consult a specialist if any lump persists for more than three weeks. Early diagnosis and timely access to treatment are essential for improving survival rates."

As breast cancer cases surge among younger women, expanded awareness campaigns, comprehensive screening guidelines, and proactive healthcare interventions are urgently needed to combat the rising incidence in this demographic.