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Black women with big breasts

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In women younger than 45 years, both incidence and mortality from breast cancer are higher in black women than in white women.

Black women also are more likely to be diagnosed with an advanced-stage tumor, a factor in their lower overall survival.

However, stage for stage, survival is lower for black women than white women. Researchers are studying how social and economic factors contribute to these disparities.

Those factors include access to mammographic screening and quality health care, as well as reproductive patterns, such as age at menarche, age at first birth, and breastfeeding.

They also are looking at how reproductive, environmental, and genetic factors may contribute to biological variations in breast tumors found in black women and white women.

Black women are more likely than white women to be diagnosed with tumors that have a higher grade and are not hormone sensitive. Black women also are at higher risk than white women of being diagnosed with a triple-negative or basal-like breast tumor, subtypes that tend to be more aggressive.

Determining the basis for these disparities is not easy. Racial identities are not discrete categories but rather social constructs.

Because these characteristics are linked to cancer risk, they can also be confounders in studies of cancer disparities.

Breast density research is being fueled, in part, by laws—passed in 22 states to date—requiring doctors to inform women who have mammography screening whether they have dense breast tissue and should consider supplemental screening.

However, no evidence-based guidelines exist on what, if any, supplemental screening women with dense breast tissue should have.

Asian women tend to have denser breasts than white women, but they have a lower breast incidence—so regardless of density there are a lot of different factors to what constitutes risk that we still know very little about.

If we do find there are racial differences in density and that these differences are associated with differences in risk or outcome, then there are implications for who needs supplemental screening.

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Issue Section:. Download all slides. View Metrics. Gun holder: Hopefully this woman's gun wasn't loaded as she kept it in her cleavage.

Gig accessory: These festival goers managed to have multiple drinks thanks to their breasts. Beer dispenser: This lady helped her friend have a beer by pouring it out from her bra.

Beer container: This girl could fit an almost full beer bottle between her boobs. On the go cup holder: This busty woman didn't require hands as she took her drink to go.

Beer warmer: This women proudly showed off her party trick of keeping a beer between her breasts. Drink holder: This topless woman could go bra-free and hands free thanks to her boobs.

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