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Mixed news on breast cancer. Though the American Cancer Society estimates that breast cancer will kill more than 40,000 women this year, the mortality rate fell 2.3 percent each year between 1990 and 2002. “Almost everyone agrees that mammography and early detection have made the biggest impact,” with newer treatments like tamoxifen also helping, says Patrick Borgen, chief of breast cancer surgery at Memorial Sloan-Kettering Cancer Center. While incidence of invasive breast cancer among women is barely increasing, it’s rising 1.1 percent a year among men (who account for less than 1 percent of the 270,000 new cases this year). Possible causes: an aging population, environmental factors, and obesity. “Men get most of their estrogen from the fat in their body,” and male breast cancers tend to be influenced by estrogen, says Sharon Giordano, an oncologist at M.D. Anderson Cancer Center.
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