Thursday, May 31, 2012
Just Diagnosed with Cancer? Chat with Experts

Sunday, June 28, 2009 Jane Beard asks

Q: Is my non hormone sensitive lump related to my age(52) and lifestyle (obese)?

I am 52, in the menopause (I was on depo injections for years until Sept 07 so have had no periods for years) and obese. I have been a binge eater since age 14. I have had a lumpectomy and been advised to have chemo then radiotherapy. The cancer was grade 3 but only 11 milimetres big and had not spread to the lymph nodes. I am confused as I expected my result to show a hormone sensitive cancer because of my age and BMI going into the menopause. How much has my wight problem contributed to this type of cancer do you think and what soet of chances are there of it returning or of a hormone sensitive lump forming, which I am surely still at risk of? I am so confused about all of this, but it is important to me to understand. I am obviously trying hard to get to grips with my lifestyle as I am very frightened. I am also already on anti depressants (I lost my husband to cancer 8 years ago.) Thank you so much for helping me.

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Answers (1)
Phyllis Johnson, Health Guide
6/28/09 8:44am

Jane, it's impossible to say if your weight had anything to do with your current cancer.  The theory of why being overweight is a breast cancer risk factor for post-menopausal women is that fat stores estrogen and too much estrogen after your body has gone into menopause is a risk factor for breast cancer.  However, as you point out, your cancer doesn't feed on estrogen, so your weight might have had nothing to do with it.  Even if it did, there is no point in beating yourself up about it now.

 

You'll want to talk to your doctor about nutrition during chemo and radiation; however, I don't think this period of stress is an ideal time to start a calorie-restricted diet.  Chemo is going to affect how food tastes, and you may be queasy with certain foods. One important step in life style you could take would be exercise.  There is good data that exercise helps prevent recurrence of breast cancer, and it also helps with depression, weight, and energy.  Consider starting with very short walks and then gradually build up.

 

Other breast cancer risk factors that you can control are drinking alcohol and smoking.

 

I wish you the best as you go through your cancer treatments.

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By Jane Beard— Last Modified: 12/25/10, First Published: 06/28/09