A breast oncologist’s guide to healthy eating

Written in association with: Dr Shiroma De Silva-Minor
Published:
Edited by: Conor Lynch

In this article below, highly regarded consultant medical and clinical breast oncologist, Dr Shiroma De Silva-Minor, explains how people can reduce their chances of getting breast cancer through diet.

How can I reduce my risk of breast cancer through dietary habits?

Dietary habits can have a significant effect on health, vitality, and longevity. As a breast oncologist, I recommend that women incorporate a variety of healthy foods into their diet to help reduce their risk of breast cancer, as well as to also feel (and likely look) better. Here is my advice on ways to optimise your diet.

 

Firstly, fruits and vegetables are rich in vitamins, minerals, and antioxidants that can help protect against cancer. Studies have shown that the more fruit and vegetables that you eat, the less likely you are to die at any given age.

 

Seven portions a day with five vegetables and two different types of fruit significantly reduces the risk of death from cancer and heart disease. The UK ‘5 a day’ should be seen as a minimum. This should include leafy greens, berries, citrus fruits, cruciferous vegetables (such as broccoli and cauliflower), and colourful vegetables like carrots and peppers.

 

Whole grains are also hugely beneficial when it comes to reducing one’s chances of being diagnosed with breast cancer, or any type of cancer for that matter. These are high in fibre and other nutrients that can help lower the risk of breast cancer. Choose whole grain bread, pasta, and rice, as well as quinoa, barley, and oats.

 

Also, incorporating proteins in to every meal will ensure that you are fuller for longer, with less ‘sweet’ cravings. Proteins are essential for maintaining muscle mass and core strength, which are lost with increasing age. Choose lean sources of protein, such as eggs, skinless chicken, fish, nuts and pulses. These foods are low in saturated fat, release energy in a sustained manner, and can help maintain a healthy weight, which is important for reducing the risk of breast cancer.

 

Is it recommended to include fats in my diet?

Some amount fat in one’s diet can actually be beneficial. Not all fats are unhealthy. In fact, dietary fats are essential for normal cell function, particularly for the brain and the nervous system.

 

However, some fats are healthier than others, such as those found in avocados, nuts, seeds, oily fish, and olive oil. These fats can also help reduce inflammation in the body, which is thought to play an important role in the development of cancer.

 

Then, in terms of soy products, these products contain phytoestrogens. Eating a moderate amount (one to two servings a day) of whole-soy products, such as tofu, soy milk, and edamame, may have a protective effect against breast cancer.

 

Certain herbs and spices, such as turmeric, ginger, and garlic, have anti-inflammatory properties and may help protect against cancer. Of all dietary habits, the strongest evidence of an adverse effect on health and breast cancer risk is from alcohol

 

To book a consultation with Dr Shiroma De Silva-Minor today, simply visit her Top Doctors profile.

By Dr Shiroma De Silva-Minor
Clinical oncology

Dr Shiroma De Silva-Minor is an accomplished and experienced consultant breast oncologist who specialises in breast cancer (both male and female), breast screening, chemotherapy, radiotherapy, immunotherapy, intraoperative radiation therapy, inflammatory breast cancers, HER2 positive disease, triple-negative breast cancers and breast cancer in pregnancy.

Dr De Silva-Minor oversees the entire (non-surgical) breast cancer pathway so she can advise on all aspects of treatment, including genetic counselling and testing, systemic (chemo) therapy, radiotherapy, and lifestyle factors in optimising health and minimising disease recurrence.  Dr De Silva-Minor was a Consultant Clinical Oncologist at the Oxford University Hospitals NHS Foundation Trust from 2008 till 2024 and recently left the NHS. The doctor now  has a private practise at the Cromwell Hospital in London and GenesisCare in Oxford.

Dr De Silva-Minor, whose clinical expertise is in the treatment of early, metastatic and recurrent breast cancer, notably obtained her first medical qualification in 1995, with her medical doctorate from the prestigious Cardiff-based University of Wales College of Medicine. In 1999, Dr De Silva-Minor was awarded the Membership of the Royal College of Physicians (UK).  Dr De Silva-Minor undertook  specialist oncology training at centres of oncological excellence in London, including The Middlesex Hospital, The Royal Free Hospital, as well as The Royal Marsden Hospital, amongst others.

In 2003, Dr De Silva-Minor was awarded the Fellowship of the Royal College of Radiologists and was also recognised as a clinical oncology specialist on the General Medical Council's register in 2007. 

Dr De Silva-Minor has published extensively in peer-reviewed journals. During a Fellowship in head and neck radiation oncology at The Princess Margaret Hospital in Toronto, Canada, Dr De Silva-Minor was awarded the Prize for Academic Excellence by the Princess Margaret Hospital and the University of Toronto for her research into the use of PETCT scans (Positron Emission Tomography) when identifying head and neck tumours for treatment with radiotherapy.   Dr De Silva-Minor was a member of the breast cancer expert panel for the National Institute of Health and Clinical Excellence (NICE), updating clinical guidelines on breast cancer management.

Dr De Silva-Minor is also collaborating on a metanalysis with the Early Breast Cancer Trialists' Collaborative Group (EBCTCG) to bring together the research on radiotherapy clinical trials to better understand how to optimally treat breast cancer patients with radiotherapy.  Dr De Silva-Minor is a member of the Advisory Board on Cancer in Pregnancy (ABCIP), an international panel of experts in managing breast cancer in pregnancy. 

Dr De Silva-Minor is a passionate advocate for empowering her patients to be involved in their management decisions. Treatment is completely bespoke to individual patients, their specific tumour subtype, taking into consideration the individual's beliefs, wishes and personal circumstances.

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