"Breast cancer impacts far too many people in our country," warned Dr. Carol Mangione, chair of the U.S. Preventive Services Task Force health expert panel, in a video announcing an update to its recommendations last year. Recent studies led the group to lower the recommended age for starting screenings by ten years from 50 to 40 years. "This new recommendation will help save lives and prevent more women from dying of breast cancer," Mangione said. According to the institution, the new recommendation could save 19% more lives.
Concerns about breast cancer in increasingly younger women are just part of a trend that alarms professionals. There has been an increase in cancer diagnoses in young people.
Cancer diagnosis in people under 50 increased by 79% from 1990 to 2019. The number of deaths increased by 28%. This is clear from a study published in the scientific journal BMJ Journals. Something similar can be said about the United States. A study released last year by the Jama Network revealed that while cancer diagnoses decreased from 2010 to 2019 in adults over 50, there was an increase in diagnoses among younger patients, especially in the 30-39 age group.
Nearly 86,000 Americans aged 15 to 39 were diagnosed with some type of cancer in 2023, according to the National Cancer Institute accounting for 4.4% of the total diagnoses. In 2024, it will get worse. This is confirmed by new data from the American Cancer Society, which predicts there will be a total of more than 2 million cancer diagnoses this year. That's the equivalent of 5,480 diagnoses per day. This new record is driven by the increase in cancer in middle-aged patients:
Although age is the strongest determinant of cancer risk, the proportion of new diagnoses in adults aged 65 years and older decreased from 61% in 1995 to 58% during 2019–2020 despite the growth of this age group in the general population from 13% to 17%. In contrast, the proportion of adults aged 50–64 years increased in both the cancer patient population, from 25% to 30%, and the general population, from 13% to 19%.
Types of cancer
Colon cancer was the first sign. In the last 24 years, diagnoses of this type of disease have almost doubled in the 55-year-old group of Americans, according to information collected by the Wall Street Journal. Data from the American Cancer Society supports the detected increase:
Colorectal cancer was the fourth-leading cause of cancer death in both men and women younger than 50 years in the late 1990s but is now first in men and second in women.
The U.S. Preventive Services Task Force lowered the recommended age for colorectal cancer screening from 50 to 45. Increased detection of colorectal cancer among the younger population was followed by increases in detections of appendix, stomach, uterus, pancreas, breast and prostate cancer.
An increase in detections, however, does not translate to an increase in cancer deaths. The death rate from all types of cancer for adults under 50 fell by 2% in nearly half a century. However, it varies by case. For example, deaths from lung cancer and leukemia have decreased.
Causes
"While genetics are likely to play a part in the rise of cancer cases in young people, experts say that smoking, alcohol consumption and diets high in meat and salt but low in fruit and milk are the main risk factors," according to a publication from the University of Edinburgh, Scotland, which participated in a study with young patients from 200 countries and regions. "Further research is needed to fully understand the reasons driving the concerning growth in cases."
In the case of breast cancer, oncologist Katherine Crew explained in an article from Columbia University that in the last decade, more women have begun to undergo genetic testing. Early detection may explain part of the increase - that is why, in the fight against cancer, mortality is usually considered to be the determining factor, rather than diagnoses. Crew also added:
In addition to genetic factors, non-genetic or lifestyle factors, such as obesity and alcohol use, and changes in reproductive factors, such as getting pregnant later or not having children, may also contribute to increasing rates of early-onset breast cancer.
The increase is linked to genetic and lifestyle causes. So much for the consensus. In terms of behavior, various reasons have been pointed such such as sitting in front of television, being born by cesarean or being obese. Ahmedin Jemal, vice president of the American Cancer Society, told the WSJ: "Otherwise, the progress we have made in the last 50 years may stall or reverse."
The latest study from the ACS shows that there have also been great achievements:
Cancer mortality continued to decline through 2021, averting over 4 million deaths since 1991 because of reductions in smoking, earlier detection for some cancers, and improved treatment options in both the adjuvant and metastatic settings.
