5 ways to lower the risk of early breast cancer recurrence

Breast cancer remains one of the most common and deadly cancers affecting women. Thanks to the increased awareness and medical advances, nearly 76% of breast cancer cases in India are now detected at an early stage. An early stage breast cancer is when the cancer lump is found in the breast or nearby lymph nodes and has not spread to other parts of the body. It can be stages 0,1,2, or 3.However, even after a successful treatment, the risk of recurrence remains a major concern. According to a study published in the National Library of Medicine, approximately 20% of women diagnosed with Early Breast Cancer (eBC) will experience recurrence at a distant site within 10 years. Each person with eBC has a different risk of recurrence based on several factors, including age at diagnosis, tumor size, number of lymph nodes with cancer in them, mutations in genes, or abnormal activity of genes that may cause cancer to grow. Understanding the risks and having a clear sense of the road ahead are crucial for survivors to navigate their journey with confidence.Fortunately, medical advancements are transforming the outlook for breast cancer survivors. From hormone-based therapies to cutting-edge targeted treatments that target cancer cells while sparing healthy tissue, the focus is now shifting from controlling cancer in the short term to lowering longer term risk of recurrence while preserving long-term quality of life. As a result, more women have the opportunity to not just live longer but also live well. Dr. Sewanti Limaye, Director Medical & Precision Oncology and Director Oncology Research, Sir HN Reliance Foundation Hospital & Research Center, said, “There is a common myth that early breast cancer is completely curable. In reality, even with early detection, there remains a risk of recurrence, sometimes as high as 50%. That is why ongoing vigilance and discussion about advanced therapy options are important for every patient. By understanding your individual risk and working closely with your care team, you can take proactive steps to lower the chance of recurrence and improve your long term health.”Excess body weight and an inactive physical lifestyle are linked to a higher risk of breast cancer recurrence. Regular exercising and maintaining a healthy weight, help regulate hormones, reduce inflammation and improve overall well-being. Focusing on a balanced diet rich in fruits, vegetables, whole grains and lean proteins can help to set realistic weight management goals, all of which play a role in lowering the chance of cancer returning.Early detection of recurrence can lead to more effective treatments and better outcomes. Sticking to your follow-up schedule for imaging, lab-tests and physical exams, help in catching any changes early. If you notice any new symptoms such as lumps, pain or unexplained fatigue, it is important to seek a medical opinion without delay.For women diagnosed with early breast cancer, advanced therapies including hormone-based drugs and targeted treatments can reduce the risk of recurrence while maintaining the quality of life. In India, where access to care and awareness are still growing, it's vital to shift the conversation toward not just survival—but survivorship. Long-term care, emotional health, and quality of life must be prioritized alongside treatment success. Patients should be encouraged to ask questions like: “What are my advanced treatment options?” Emotional health is closely tied to physical recovery and long-term survival. Social support, counselling, and stress management can significantly improve quality of life and even lower recurrence risk. Don’t hesitate to consult a mental health professional if you’re struggling with anxiety, depression, or fear of recurrence.Smoking and excessive alcohol intake can increase the risk of breast cancer recurrence. If you smoke, seek support through counselling or other programs. Limit alcohol consumption or avoid altogether if possible. Discuss this with your care team for personalized guidance on reducing these risks. The risk of recurrence is real, but it can be managed with vigilance, adherence to therapy, and a comprehensive approach to health. By working closely with your care team, having conversations around advanced therapies, staying proactive with lifestyle choices, and prioritizing both physical and mental well-being, you can take meaningful steps to lower the risk of recurrence and live a better and healthier life.