{"id":218206,"date":"2024-03-29T03:36:12","date_gmt":"2024-03-29T03:36:12","guid":{"rendered":"https:\/\/michigandigitalnews.com\/index.php\/2024\/03\/29\/olivia-munns-ob-gyn-dr-thais-aliabadi-wants-women-to-know-breast-cancer-risk\/"},"modified":"2025-06-25T17:19:44","modified_gmt":"2025-06-25T17:19:44","slug":"olivia-munns-ob-gyn-dr-thais-aliabadi-wants-women-to-know-breast-cancer-risk","status":"publish","type":"post","link":"https:\/\/michigandigitalnews.com\/index.php\/2024\/03\/29\/olivia-munns-ob-gyn-dr-thais-aliabadi-wants-women-to-know-breast-cancer-risk\/","title":{"rendered":"Olivia Munn\u2019s OB\/GYN, Dr. Tha\u00efs Aliabadi, wants women to know breast cancer risk"},"content":{"rendered":"<p> [ad_1]<br \/>\n<\/p>\n<p>What are the odds you\u2019ll develop breast cancer in your lifetime? Not a woman\u2019s average risk\u201413%, according to the <a href=\"https:\/\/www.cancer.org\/cancer\/types\/breast-cancer\/about\/how-common-is-breast-cancer.html\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">American Cancer Society<\/a>\u2014but your personal risk based on your age, genetics, family history, and other risk factors?<\/p>\n<div>\n<p>That\u2019s a statistic you should know off the top of your head, <a href=\"https:\/\/www.draliabadi.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">Dr. Tha\u00efs Aliabadi,<\/a> an OB\/GYN in Beverly Hills, California, and cohost of the new podcast <a href=\"https:\/\/www.shemdpodcast.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\"><em>SHE MD<\/em><\/a>, tells <em>Fortune<\/em>.<\/p>\n<p>\u201cI was diagnosed with breast cancer myself, so it\u2019s a condition that\u2019s near and dear to my heart,\u201d she says. \u201cI don\u2019t want another woman to go through what I went through.\u201d<\/p>\n<p>According to Aliabadi, at 49 she had no genetic mutations, no family history of breast cancer, and her mammograms, ultrasounds, and MRIs were benign. However, she says a breast biopsy seven months earlier had shown <a href=\"https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/precancerous\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">precancerous cells<\/a>. She knew other components of her medical history\u2014such as having dense breasts and <a href=\"https:\/\/fortune.com\/well\/article\/advanced-maternal-age-having-a-baby-after-35-risk\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">giving birth for the first time after age 30<\/a>\u2014heightened her risk. She determined her lifetime risk of developing breast cancer was 37%; the <a href=\"https:\/\/www.acr.org\/-\/media\/ACR\/Files\/Breast-Imaging-Resources\/Care-Toolkit\/Provider-Breast-Cancer-Risk-Assessment-Handout.pdf\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">American College of Radiology<\/a> considers women with a lifetime risk at or above 20% to be high-risk. Aliabadi asked her doctor for a <a href=\"https:\/\/www.cancer.org\/cancer\/types\/breast-cancer\/risk-and-prevention\/preventive-surgery-to-reduce-breast-cancer-risk.html\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">prophylactic double mastectomy<\/a>, a surgery in which both breasts are removed to lower chances of getting breast cancer.<\/p>\n<p>\u201cSomeone with 37% lifetime risk, they need regular imaging every six months and I didn\u2019t want to go through all that; I was too busy,\u201d says Aliabadi, now 53. \u201cI didn\u2019t want to get diagnosed with breast cancer, I just didn\u2019t want to deal with it. To me, that number was high, and it\u2019s a very personal decision.\u201d<\/p>\n<p>Her doctors insisted a double mastectomy was unnecessary. Still, Aliabadi went through with the procedure. A week later, she was notified cancer had been present.<\/p>\n<p>\u201cDo you know how many doctors at my hospital approached me the following month\u2014\u2019cause <a href=\"https:\/\/www.instagram.com\/p\/B1xJOnuHNUg\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">I\u2019d made a post on Instagram<\/a>\u2014and asked me, \u2018How did you calculate your lifetime risk?\u2019 And these were gynecologists,\u201d Aliabadi tells <em>Fortune<\/em>. \u201cI realized I got breast cancer so I can change this in the world.\u201d<\/p>\n<h2 class=\"wp-block-heading\">How do you calculate lifetime breast cancer risk?<\/h2>\n<p>Aliabadi says her dream is for every woman to know her lifetime risk of breast cancer\u2014information that could potentially save her life.<\/p>\n<p>Earlier this month, actress <a href=\"https:\/\/fortune.com\/well\/2024\/03\/13\/olivia-munn-breast-cancer-risk-assessment-tool\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">Olivia Munn announced on Instagram<\/a> that she\u2019d been diagnosed with <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/breast-cancer\/in-depth\/breast-cancer\/art-20045654\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">luminal B breast cancer<\/a> in 2023. The 43-year-old had tested negative for <a href=\"https:\/\/www.cdc.gov\/cancer\/breast\/young_women\/bringyourbrave\/hereditary_breast_cancer\/brca_gene_mutations.htm\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">BRCA1 and BRCA2 gene mutations<\/a>, and her imaging results were normal. In spite of this, Munn\u2019s doctor, Aliabadi, assessed her breast cancer risk, which was also 37%. Further testing revealed cancer and Munn, too, opted for a double mastectomy.<\/p>\n<p>\u201cI wouldn\u2019t have found my cancer for another year\u2014at my next scheduled mammogram\u2014except that my OB\/GYN, Dr. Tha\u00efs Aliabadi, decided to calculate my Breast Cancer Risk Assessment Score,\u201d Munn wrote in <a href=\"https:\/\/www.instagram.com\/p\/C4dXfrULDdJ\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">a March 13 Instagram post<\/a>. \u201cThe fact that she did saved my life.\u201d<\/p>\n<p>Aliabadi will soon offer <a href=\"https:\/\/www.shemdpodcast.com\/risk-calculator\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">a risk calculator of her own<\/a> on the <em>SHE MD<\/em> website and declined to tell <em>Fortune<\/em> which algorithm she used on Munn. Several free variations are accessible online, including the <a href=\"https:\/\/bcrisktool.cancer.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">Breast Cancer Risk Assessment Tool (BCRAT)<\/a>, the <a href=\"https:\/\/ibis-risk-calculator.magview.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">IBIS\/Tyrer-Cuzick Risk Assessment Calculator<\/a>, the <a href=\"https:\/\/tools.bcsc-scc.ucdavis.edu\/AdvBC6yearRisk\/#\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">Breast Cancer Surveillance Consortium (BCSC) Advanced Breast Cancer Risk Calculator<\/a>, and the <a href=\"https:\/\/www.bu.edu\/slone\/bwhs-brcarisk-calculator\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">Black Women\u2019s Health Study Breast Cancer Risk Calculator<\/a>.<\/p>\n<p>Each has advantages and limitations. The BCRAT, for example, is simple but based on <a href=\"https:\/\/fortune.com\/well\/article\/breast-cancer-risk-assessment-tool-race-ethnicity\/\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">limited biomedical data for nonwhite women<\/a>. The IBIS\/Tyrer-Cuzick tool eliminates race but incorporates more of your reproductive history, and the BCSC calculator doesn\u2019t apply to women under 40. Collectively, they analyze factors such as:<\/p>\n<ul>\n<li>Age<\/li>\n<li>Age at time of first menstrual period<\/li>\n<li>Age at time of first childbirth<\/li>\n<li>BRCA1 and\/or BRCA2 gene mutations<\/li>\n<li>Breast biopsy history<\/li>\n<li>Breast density<\/li>\n<li>Breastfeeding history<\/li>\n<li>Family history of breast and prostate cancer<\/li>\n<li>Height and weight<\/li>\n<li>Hormone replacement therapy history<\/li>\n<li>Menopausal status<\/li>\n<li>Oral contraceptive use<\/li>\n<li>Ovarian cancer history<\/li>\n<li>Race and ethnicity<\/li>\n<\/ul>\n<p>Depending on the tool, you\u2019ll be given your short-term risk of developing breast cancer within five to 10 years and\/or your lifetime risk. A number of calculators are publicly accessible but intended for use by medical professionals. Women should not only know their risk, Aliabadi says, but also discuss it with their health care team.<\/p>\n<p>\u201cThis needs to be done at the primary care office, at the gynecologist\u2019s office, at the family practitioner\u2019s office, at the plastic surgeon\u2019s office\u2014offices that basically deal with women directly,\u201d she tells <em>Fortune<\/em>. \u201cI want this to be standard of care.\u201d<\/p>\n<p>The upcoming <em>SHE MD<\/em> risk assessment will include a printer-friendly action plan women can bring to their next medical appointment \u201cand if their doctor refuses to do something about it, I want them to be empowered to be their own breast advocate and go find a doctor that would do the right thing for them,\u201d Aliabadi says.<\/p>\n<div class=\"wp-block-image\" style=\"margin:auto;max-width:960px\"><span style=\"box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative\"><span style=\"box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%\"\/><img alt=\"Rear view of an hispanic young woman getting a mammogram to check for breast cancer with the help of a female doctor at the imaging diagnostic center\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" decoding=\"async\" data-nimg=\"responsive\" style=\"position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover;background-size:cover;background-position:0% 0%;filter:blur(20px);background-image:url(&quot;data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mO8fv1mPQAIHAMIsIR6agAAAABJRU5ErkJggg==&quot;)\"\/><noscript><img alt=\"Rear view of an hispanic young woman getting a mammogram to check for breast cancer with the help of a female doctor at the imaging diagnostic center\" loading=\"lazy\" decoding=\"async\" data-nimg=\"responsive\" style=\"position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover\" sizes=\"100vw\" srcset=\"https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=320&amp;q=75 320w, https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=480&amp;q=75 480w, https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=576&amp;q=75 576w, https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=768&amp;q=75 768w, https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=1024&amp;q=75 1024w, https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=1280&amp;q=75 1280w, https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=1440&amp;q=75 1440w\" src=\"https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/03\/GettyImages-1418491436-e1711474182645.jpg?w=1440&amp;q=75\"\/><\/noscript><\/span><figcaption>The American Cancer Society recommends annual mammograms for women as young as 40. Depending on your lifetime risk of developing breast cancer, however, you may need earlier and additional screening, says Dr. Rebecca Kaltman, an oncologist at the Inova Saville Cancer Screening and Prevention Center in Fairfax, Virginia.<\/figcaption><p>Antonio Diaz\u2014Getty Images<\/p>\n<\/div>\n<h2 class=\"wp-block-heading\">What does my lifetime breast cancer risk mean?<\/h2>\n<p>No tool is perfect, with some underestimating risk among certain populations. A woman at low risk may develop breast cancer, while a woman at high risk may not. Your doctor can help you choose which assessment may give you the best estimate and determine whether additional screenings are necessary.<\/p>\n<p>Don\u2019t wait until you approach middle age to have these nuanced discussions with your doctor, says <a href=\"https:\/\/www.inova.org\/doctors\/rebecca-d-kaltman-md\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">Dr. Rebecca Kaltman<\/a>, an oncologist at the <a href=\"https:\/\/www.inova.org\/our-services\/inova-schar-cancer-institute\/saville-cancer-screening-and-prevention-center\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">Inova Saville Cancer Screening and Prevention Center<\/a> in Fairfax, Virginia, who tends to use the IBIS\/Tyrer-Cuzick tool for her patients.\u00a0<\/p>\n<p>\u201cWe are working [to] educate primary physicians on quick models and tools that they can use to risk assess, so that we\u2019re capturing people early on,\u201d Kaltman tells <em>Fortune<\/em>. \u201cFor those that might be at risk from a hereditary perspective, screening would start a lot earlier. So instead of waiting until 40, when the guidelines say to start screening, we need to be thinking about women at a much younger age, in their 20s and 30s.\u201d<\/p>\n<p>The American Cancer Society <a href=\"https:\/\/www.cancer.org\/cancer\/screening\/american-cancer-society-guidelines-for-the-early-detection-of-cancer.html\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"sc-c908bf88-0 iyWINF\">recommends breast imaging<\/a> for women in these age groups:<\/p>\n<ul>\n<li><strong>40\u201344: <\/strong>Annual mammograms optional<\/li>\n<li><strong>45\u201354: <\/strong>Annual mammograms<\/li>\n<li><strong>55+: <\/strong>Biannual mammograms, annual optional<\/li>\n<\/ul>\n<p>Patient education is critical, particularly for women of color, Kaltman says, noting that while breast cancer is <a href=\"https:\/\/gis.cdc.gov\/Cancer\/USCS\/#\/Demographics\/\" target=\"_blank\" rel=\"noopener\" class=\"sc-c908bf88-0 iyWINF\">more common among white women<\/a>, it occurs earlier and more aggressively among Black women. Early disease detection is a promising solution.<\/p>\n<p>\u201cI think that our obligation as providers is to make sure that we\u2019re getting out into every community and educating women,\u201d Kaltman says. \u201cThe more that we can empower patients to know what their risk is and bring this to their primary providers, be it an OB\/GYN or an internist, the more likely they are to get risk stratified and appropriate screening going forward.\u201d<\/p>\n<p><strong>For more on breast cancer risk and prevention:<\/strong><\/p>\n<\/div>\n<div data-cy=\"subscriptionPlea\">\n<p><span style=\"font-weight:400\">Subscribe to Well Adjusted, our newsletter full of simple strategies to work smarter and live better, from the Fortune Well team. <\/span><a href=\"https:\/\/www.fortune.com\/newsletters\/well-adjusted?&amp;itm_source=fortune&amp;itm_medium=article_tout&amp;itm_campaign=well_adjusted\" target=\"_blank\" rel=\"noopener\" class=\"sc-c908bf88-0 iyWINF\"><span style=\"font-weight:400\">Sign up<\/span><\/a><span style=\"font-weight:400\"> for free today.<\/span><\/p>\n<\/div>\n<p><script async defer src=\"https:\/\/platform.instagram.com\/en_US\/embeds.js\"><\/script><br \/>\n<br \/>[ad_2]<br \/>\n<br \/><a href=\"https:\/\/fortune.com\/well\/2024\/03\/28\/olivia-munn-dr-thais-aliabadi-breast-cancer-risk\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>[ad_1] What are the odds you\u2019ll develop breast cancer in your lifetime? Not a woman\u2019s average risk\u201413%, according to the American Cancer Society\u2014but your personal<\/p>\n","protected":false},"author":1,"featured_media":218207,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[149],"tags":[],"_links":{"self":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/posts\/218206"}],"collection":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/comments?post=218206"}],"version-history":[{"count":1,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/posts\/218206\/revisions"}],"predecessor-version":[{"id":333068,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/posts\/218206\/revisions\/333068"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/media\/218207"}],"wp:attachment":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/media?parent=218206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/categories?post=218206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/tags?post=218206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}