Table of Contents

Quick Fact Sheet for Doctors - Are we missing a major at-risk population?

Dr. Brind's Lecture

Dear Doctor Letter (html)

Dear Doctor Letter (PDF)

Legal Issues

Breast Tissue Slides

Figure 1: Human breast lobules at different stages of development. Cancers are known to arise in the immature breast tissue that all girls are born with - Type 1 lobules (left panel) are TDLU's, known as "terminal ductal lobular units." Some Type 1 lobules mature at puberty into Type 2 lobules.  Scientists recognize Types 1 and 2 lobules as cancer-vulnerable. They recognize Type 3 lobules (right panel) as cancer-resistant.* Notice the considerable difference in breast tissue maturity between Types 1 and 3 lobules.

During a normal pregnancy, women are overexposed to the hormone estrogen (a recognized carcinogen).  Estrogen causes breast tissue to grow.  It stimulates Types 1 and 2 lobules to multiply.  Abortion leaves a woman with more Types 1 and 2 lobules.

Only a third trimester process in pregnancy protects a woman from estrogen overexposure and matures her breast tissue into cancer-resistant, milk producing breast tissue (Types 3 & 4 lobules).  A full term pregnancy leaves a woman with an increase in cancer-resistant breast lobules.  That's why women with more children have a lower lifetime risk for the disease.

A woman is the most vulnerable to carcinogens between the time that her menstrual periods begin and her first full term pregnancy occurs.  With every menstrual period, estrogen stimulates Types 1 and 2 lobules.

*Whole mount preparation, toluidine blue stain (Lob 1, 2 and 3: x99, x118 and x121, respectively).

Figure 2: Images of a normal human Type 1 lobule appear in the upper panels.  The lower panels show intraductal carcinoma (cancer) arising in Type 1 lobules (TDLU's where cancers are known to develop).+

+Whole mounts stained with toluidine blue, histological sections with hematoxylin and eosin.