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Breast Cancer Awareness Month (ABC News)

Oct. 1 marks the beginning of Breast Cancer Awareness Month, putting a spotlight on the second most common cancer diagnosed among women.

Although the rates of women diagnosed with breast cancer have increased, death rates have been declining and five-year survival rates have risen.

It’s not just women; men are also diagnosed with the disease. Additionally, disparities persist among races and ethnicities.

Here’s what you need to know about breast cancer by the numbers. 

Diagnosis rates

Breast cancer is the most frequently diagnosed cancer among women in the United States, aside from skin cancer, with more than 320,000 new invasive cases expected each year, according to the American Cancer Society (ACS). 

Breast cancer diagnoses have risen with a 1% increase per year in recent years, ACS says.

“Breast cancer is one of the most common cancers in women, but most women diagnosed with breast cancer do very well and outcomes have improved tremendously over the years,” Hannah Rose Naughton, breast surgical oncologist at Hackensack Meridian Health, told ABC News. 

Breast cancer accounts for roughly one in every three new cancers diagnosed in women each year and is the second leading cause of cancer death among women in the U.S., behind lung cancer, according to the ACS.

“The earlier we find the cancer, the better the outcome for the patient,” Naughton said. 

While breast cancer affects women far more often, the disease can also occur in men. 

“One percent of breast cancer cases occur in men; it’s extremely rare,” Priya Thomas, breast oncologist at the University of Texas MD Anderson Cancer Center, told ABC News.

Declining death rates

The breast cancer death rate among U.S. women decreased by 44% from 1989 to 2024, preventing an estimated 500,000 to 517,900 deaths, according to ACS.  

“The decrease in breast cancer death rates is probably a combination of our screening advances, as well as advances in the treatments that we have for different subtypes of breast cancer,” Thomas said. “Artificial intelligence is also being investigated and possibly can also increase sensitivity and detection.” 

Improving survival rates

In the late 1970s, the five-year relative survival rate for women with invasive breast cancer — which compares how many patients are alive five years after diagnosis with people of the same age who don’t have cancer — was roughly 75%.

As of 2022, it is above 90%, according to the National Cancer Institute (NCI). The increase reflects major advances in screening and earlier diagnosis.

Where breast cancers are found

Stage at diagnosis remains one of the biggest predictors of outcome. 

Most breast cancers are discovered before they have spread to other parts of the body, according to the NCI. 

About 64% of cases are diagnosed at a localized stage, meaning the cancer has not spread beyond the breast. About 27% have spread to nearby lymph nodes or tissue, and about 6% are diagnosed after the cancer has spread to distant parts of the body. About 2% have an unknown stage. 

“If you feel a lump, if you notice a skin change, if you notice nipple discharge or any change that is different from your normal baseline, that warrants an evaluation by your provider,” Thomas said.

Persisting disparities

The burden of breast cancer is not shared equally. 

“Black women are more likely to develop triple-negative breast cancer, which can be a more aggressive subtype, and unfortunately they do have a higher breast cancer mortality rate,” Naughton said.

As with many other diseases,  the risk of breast cancer increases with age. The average age at breast cancer diagnosis in women is 63, according to the NCI. 

In men, the ACS reports the average age at diagnosis is between 60 and 70. Although for both women and men, the disease can occur at virtually any age, and diagnosis at a younger age is linked to increased mortality.

“I know that recently some of the guidelines, depending on where you’re looking, have changed and may recommend mammograms every one to two years, but I still recommend yearly mammograms starting at age 40 for women at average risk,”  Naughton said. 

Beyond regular screening, experts say being aware of changes in your body is important.

“The most important message is that you shouldn’t ignore a change in your breast,” Naughton said. 

Dr. Tara Howard is a fourth-year dermatology resident and a member of the ABC News Medical Unit.

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