Did radiation cause my BC?
I'll be 57 on April 25, and I think growing up in the nuclear age had something to do with me having BC. I know so many people my age who have cancer of some type even though they have no apparent risk factors, and think there must be something environmental we all have in common to have caused it.
Do any other Boomers here remember the atomic blast tests of the 1950s and 60s? Strontium 90 in the milk our teachers made us drink? The dental Xrays that were taken at every dental appointment, with no lead aprons to shield us? The notion that radiation was a scientific marvel that should be tested on all kinds of things?
Or how about those X-ray things they had in shoe shops so parents could X-ray their own children's feet??? I remember my cousin playing with one, Xraying her feet over and over while we all peered down at them! When I told my daughter that story, she didn't believe me. But for a time, shoe shops had Xray machines so that customers could tell whether or not shoes would pinch their feet.
Comments
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I wonder about all of that and also about chest x-rays. I had one in my early 20's - routine screening done by my employer! Now I read that increases risk. There are so many things going on in our environment and there is more and more cancer.
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I remember those foot x-ray machines. Used to do mine all the time.
I also worked in a lab environment where radioactive isotopes were used. You would not believe how casual radioactivity is treated in research labs. There are spills and accidents all the time.
I wouldn't be surprised if this were a cause but that won't do us any good now. What we need is a cure.
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I don't know about radiation, but the DDT they used in the 50s/early 60s has been found to contribute. Did you live in a farm area?
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My dermatologist used to expose my face to radiation to treat my acne. No lead aprons used.
I often wonder about that.
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I just had a bone scan and had a long talk with the tech about this.
He told me that the radiation of flying is more than the radiation of a bone scan. That got me thinking- what about people who fly alot? Or Flight Attendants? Do they have a higher risk for BC?
I know there is a study that girls who were treated for scoliosis, with multiple x-rays, have a higher rate of BC when they become women.
I remember being x-rayed for my braces, that thing used to encircle my head. I don't remember wearing the apron thing.
I think it has an impact on us.
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I was treated for Scoliosis in the late 1960's into the mid 1970's with my main treatment in an 8 month time frame in 1971. I asked my breast surgeon if that had an impact on my problematic breasts (1 dx of ADH in each breasts 18 months apart before dx of DCIS in 2007) and he said that he didn't think there was any correlation between the x-rays I had then and my bc. But like you I wonder if the multiple x-rays I had over the 8 month period I was being treating with traction, surgery, and casts had anything to do with my problematic breasts. I also had x-rays starting my braces but I think they did use the lead apron on me.
A friend of mine's mother (who is in her 50-60's), refuses to have mammos because she said that the exposure to the x-rays in the mammos causes the bc.
Sheila
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for some information of occupational groups with highest incidence of bc.
http://eurpub.oxfordjournals.org/cgi/content/abstract/7/2/177
lawyers, medicaldoctors, dentists and physiotherapists, nurses and clerks
http://www.canoshweb.org/odp/html/breastca.htm
Flight attendants do seem to be at higher risk.
One of my best, oldest friends was treated for scoliosis back in the 60's and she died two years ago from bc. Also was an RN.
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When I first was DX of coarse I was googling everything, at that time I was not smart enough to save the links and so far have not refound them, but I came across 2 intresting articles, 1 that related to a drug woman were given in the 50"s & 60"s to help prevent Miscarriage, the result the daughters of these woman were proven to be at higher risk of BC - my mom has passed away so I can not ask her, but I was a problem pregnancy, so I wonder if she was on something.
The other article I read was about woman who choose not to breast feed (that was me in (80& 82), at that time I was given what was refered to as the "dry up shot", this to was linked to woman having a higher risk of BC.
I am sure they were both some kind of hormone, I wish I could find the articles.
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Huh, I remember in '81 that my doctor wouldn't give me a "dry-up" shot after I had breast-fed my son and was trying to stop. Didn't make a difference for me....sigh.
In Vancouver, BC, in the early '60's there used to be vans that would drive around and give chest X-rays to try to catch tuberculosis!!!!!!!!!!!!!!!!!!!!!!!!!!! Can you imagine how much I was exposed in those vans? I wonder how long the "techs" lived. Yep, the shoe store glowing green x-rays.... Now we have airport x-rays and I'm sure some of the stores have a sort of x-ray for theft from those tags (how does those things work anyway?).
People didn't used to live as long as we are now, so it seems like there is more cancer, but it's probably just the same. I used to say if you live long enough, you'll get cancer of something. Now the scientists are saying that (they must have overheard me....).
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One chest X-ray is equiavalent to one week natural radiation ( walls, sky etc). Not a big deal.
Tirlie , MD
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my sentiments exactly. there is a fear mongerer trying to make us think we caused our own bc by getting mammos!
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If I remember correctly, a mammogram is the equivalent of about 1 month of natural radiation. Keep in mind that was analog mammography (film based) If you are getting digital mammos , which I hope everyone is, the radiation dose is at least 1/2 depending on the unit.
I have often seen people very worried about having mammograms because of the radiation (am a mammo tech) but these same people will come in and have their back or knees xrayed every six months without worry. All of the xrays you get still have ionizing radiation, so one should try to keep all xrays down to a minimum. As for mammos, I am a firm believer but one should research the clinic carefully. In Canada, we have an accreditation system and I would not have a mammo at any facility that has not been accredited by CAR.
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The National Cancer Institute found a link between scoliosis treatment in the 70s and earlier to BC.
I also do not believe that mammo's cause BC. If I didn't have my baseline mammo and subsequent ones well before age 40, I never would have found my TN cancer. I am grateful for them.
Here is the scoliosis study
Scientists Find Link Between Pre-1970s Diagnostic X-rays for Scoliosis and Breast Cancer Mortality
Researchers have found that women with scoliosis, or abnormal curvature of the spine, who were exposed to multiple diagnostic X-rays during childhood and adolescence may be at increased risk of dying of breast cancer. The study appears in the Aug. 15, 2000, issue of the journal Spine*. Authors included scientists from the National Cancer Institute (NCI) in Bethesda, Md.; the Twin Cities Spine Center in Minneapolis, Minn.; the University of Texas M.D. Anderson Cancer Center in Houston, Texas; Information Management Services in Silver Spring, Md.; and the U.S. Scoliosis Cohort Study Collaborators, a group of physicians from 14 orthopedic medical centers across the country.
The 5,466 women in the study, who received an average of 24.7 X-rays, were found to have a 70 percent higher risk of breast cancer than women in the general population. There were 77 breast cancer deaths among the patients, compared to 46 expected deaths based on U.S. mortality rates. Patients were younger than 20 years old when they were diagnosed with scoliosis between 1912 and 1965. The mean age for scoliosis diagnosis in this study was 10.6 years, and the average length of follow-up was 40.1 years. Follow-up was complete for 89 percent of patients.
"These findings provide yet another indication that radiation exposure, especially in childhood, is associated with increased breast cancer risk later in life, and that the amount of risk is proportional to radiation dose," said Michele M. Doody, M.S., from NCI's Radiation Epidemiology Branch and the principal investigator of the study. Reported risks for exposures after age 40 are much lower.
Scoliosis occurs in approximately 2 percent of girls and 0.5 percent of boys. It is commonly diagnosed in early adolescence and may gradually progress as rapid growth occurs. Scoliosis patients typically undergo routine X-rays of the spine throughout their adolescent growth spurt to monitor curvature progression so that corrective action may be taken.
The researchers found that the risk of dying from breast cancer increased significantly with the number of X-rays. The vast majority (89 percent) of exams in this study involved definite or probable radiation exposure to the breast. Patients who had 50 or more exams had nearly four times the risk of dying from breast cancer as women in the general population. The number of exams per patient ranged from zero to 618. Six hundred forty-four patients had no recorded exams.
Similarly, the risk of dying of breast cancer increased with increasing estimated cumulative radiation dose to the breast. Patients who received doses of greater than 20 centigray (cGy) had more than three times the chance of dying from breast cancer than women in the general population. The estimated cumulative dose of radiation ranged from zero to 170 cGy; the average was 10.8 cGy**
This is by far the largest group of scoliosis patients followed to date. The number of X-rays that each patient received was tabulated through detailed review of the medical records and films, and the breast doses were estimated using actual machine parameters derived from one medical center (University Hospital Rehabilitation Center, Hershey, Pa.). Information was available during most of the calendar time periods covered.
Part of the increased risk of dying from breast cancer may be due to other breast cancer risk factors, said Doody. Breast cancer risk in the general population tends to be higher for women who have not experienced a full-term pregnancy or whose first full-term pregnancy was at age 30 or older. Based on questionnaire responses by 3,100 women in the study who were alive at the end of the follow-up period, it appears that women with more severe scoliosis were less likely to have given birth than those with less severe disease. Since severity of scoliosis also correlates with number of X-rays and radiation dose to the breast, it is possible that some of the observed breast cancer excess could be related to reproductive history.
Almost all of the X-rays received in this study were taken before 1976, when the dose to patients was considerably higher than with current techniques. For example, the estimated breast dose from a full-spine anteroposterior view (facing the X-ray machine) in 1940 to 1959 was about six times higher than an anteroposterior view in 1976 to 1989 and 200 times higher than a posteroanterior (turned with back facing the X-ray machine) view in 1976 to 1989. Although radiation exposures to breast tissue are much lower today than during the time period covered by this study, they are not insignificant. The authors recommend that efforts to reduce exposures continue by having patients stand with their backs to the X-ray machine, carefully limiting the portion of the body exposed to the radiation beam, and shielding the breasts. Repeat exposures should also be minimized wherever possible.
* The study is entitled " Breast Cancer Mortality After Diagnostic Radiography: Findings from the U.S. Scoliosis Cohort Study." The authors are Michele Morin Doody, John E. Lonstein, Marilyn Stovall, David G. Hacker, Nickolas Luckyanov, and Charles E. Land. Spine, Aug. 15, 2000, Vol. 25, No. 16.** The amount of radiation energy absorbed by irradiated tissue is measured in centigray (cGy). The estimated breast dose for a single full spine X-ray with the patient facing the X-ray machine (anteroposterior view) during the 1940s was about 0.6 cGy. For comparison, the estimated breast dose today for a single full spine anteroposterior exam is on the order of 0.1 to 0.2 cGy, whereas the dose for the same examination with the patient's back facing the machine (posteroanterior view) is 0.02 cGy.
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I remember an eighth grade science class (this would have been about 1965 or early 1966) where a lartge thermometer was broken, and these little pellets of mercury rolled across the floor. The teacher asked us all to help pick it up, which we did, and then carried on with the class without washing our hands. Of course, a whole lot of information is available now that wasn't then, and I doubt the teacher realized the danger. But I can't help but wonder, were we not cautious enough then, or has all this information made us go overboard now? Some of the warnings scientists give us now seem silly at times, and some people go so overboard with them.
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OMG! I remember a broken thermometer too! The mercury was amazing how it reacted to the touch and with itself. I played with it for hours.....huh. Gotta wonder, eh?
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I broke my right upper arm quite badly when I was ten, in 1975, and sometimes I wonder if the xrays I had then - probably 4 in total - had anything to do with bc.
However, I'm also very suspicious about the pill. When I was diagnosed my surgeon said immediately that she thought it was from the pill. I read an article somewhere about a young woman in her twenties who'd gone into an extremely early menopause for some reason, and instead of giving her HRT, the doctor gave her the pill so that she could feel more like other young women her age. If the two things can be used interchangeably, then why is HRT harmful and the pill not?
That being said, I think we can drive ourselves nuts because we'll never really know for sure...
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