Alcohol and Breast Cancer – Janet Gourand Interviews Dr Jenny Edge

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Back in 2006 I was diagnosed with breast cancer – although almost 10 years ago I can remember that day as if it was yesterday.

I was sent to top breast cancer surgeon, Dr Jenny Edge, in Cape Town. She took one look at my breasts and announced that I had a malignant tumour in my left breast.

She was very kind and told me gently that I was going to have a very busy day as she sent me around the hospital to have various tests to ascertain if the cancer had spread. Fortunately, it hadn’t spread although it was in my lymph nodes, many of which had to be removed – along with my breast.

One of the ways I coped with my year of treatment was by blogging – my blog is still up there in cyberspace under www.breastcancerbattle.blogspot.com

I was vaguely aware of the fact that there was a link between alcohol and breast cancer but that was not something I wanted to dwell on when coping with my diagnosis and the tough treatment regime that followed.

According to website www.breastcancer.org :

“Research consistently shows that drinking alcohol does increase a woman’s risk of hormone-receptor-positive breast cancer. Alcohol can increase levels of estrogen and other hormones associated with hormone-receptor-positive breast cancer and may also damage the DNA in cells. Compared to women who don’t drink at all, women who have three alcoholic drinks per week have a 15% higher risk of breast cancer”

Now that almost a decade has passed, I felt brave enough to talk to Dr Jenny Edge about the possible link between alcohol and breast cancer. Her first words were that “it’s complicated” and she reminded me that the biggest risk factors are being female and getting older!

Having said that, Dr Edge was kind enough to share with me some key points from a recent presentation she had made at the University of Cape Town:

  • The World Health Organisation has classified alcohol as being “carcinogenic to humans”

  • Alcohol metabolises into acetaldehyde which can damage healthy cells

  • Alcohol could affect the response of the breast to circulating estrogen

Dr Edge also mentioned the “Nurses Health Study (2011: JAMA) which looked at alcohol consumption and breast cancer risk.

Conclusions of this significant study were that “low levels of alcohol consumption were associated with a small increase in breast cancer risk, with the most consistent measure being cumulative alcohol intake throughout adult life.”

There was no statistical difference found between:

  • Types of alcohol consumed

  • Age of drinking

  • Regular vs binge drinking

So I can see why Dr Edge says “it’s complicated” but if I could give some advice to my younger self I think it would include some tips about drinking moderately. As a result of recent research, the “safe” levels for alcohol consumption are likely to be reduced in the UK. Currently 14 units a week – that’s just one and a half bottles of wine!

Let’s hope that SA will follow the UK example – and let’s hope that people will actually follow that advice!

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