Up to 20 percent of invasive breast cancers are classified as triple negative, which refers to the fact that the cancer is estrogen receptor negative (ER-), progesterone receptor negative (ER-), and HER2/neu negative. In other words, triple negative breast cancers do not express receptors for estrogen or progesterone and do not overexpress HER2. Triple negative breast cancer is also classified as basal-like breast cancer by some researchers. Women diagnosed with triple negative breast cancer are more likely to be premenopausal than women with hormone receptor positive breast cancer. Treatments or foods that reduce the production of estrogen or block its effects in the body are not useful for this type of breast cancer. Women with metabolic syndrome are more likely to have triple negative breast cancer upon diagnosis than women without it.
The studies concerning diet or specific foods that relate to triple negative cancer focus on hormone receptor status; HER2/neu status tends to be studied separately. However, the information concerning ER-/PR- breast cancer and diet is likely to be relevant to triple negative breast cancer since HER2- is the "normal" state (see also our web page on HER2+ breast cancer if you have ER-/PR-/HER2+ breast cancer). There are specific foods that have been found to be associated with lower risk of this type of breast cancer and some that are associated with higher risk.
Foods that reduce the risk of triple negative or ER-/PR- breast cancer
The following foods and spices have been found to be associated with reduced risk of triple negative or ER-/PR- breast cancer:
One study reported that breast cancer patients with suboptimal levels (under 32 ng/mL) of vitamin D were three times more likely to develop triple negative breast cancer than patients with optimal levels. In other words, low vitamin D appears to increase the aggressiveness of breast cancer that develops.
Foods that increase the risk of ER-/PR- breast cancer
The following foods have the potential to increase the risk of ER-/PR- breast cancer:
- Bacon and other processed meats
- Beef
- Coffee (for premenopausal women, unless BRCA1 or BRCA2 carrier - see the coffee web page)
- Corn oil
- Lamb
- Pork
- Safflower oil
- Soybean oil
- Sunflower oil
Foods that can help reduce or regulate blood sugar and insulin levels
The foods below have been shown to help regulate glucose, increase insulin sensitivity and/or reduce circulating insulin levels while also protecting against breast cancer. Consuming such foods may help reduce the likelihood or extent of metabolic syndrome.
- Basil
- Beans, dry
- Flaxseed
- Garlic
- Hot peppers
- Mushrooms
- Olives and olive oil
- Pumpkins
- Rice, brown
- Soybeans
- Turmeric
- Walnuts
Additional comments
It is important for triple negative breast cancer patients and survivors to eat a wide variety of the foods on our recommended food list and limit or avoid those on our avoid list, in addition to paying particular attention to the foods on the lists above.
Food for Breast Cancer triple negative breast cancer articles
Below are links to all of the other articles concerning triple negative breast cancer.
Latest research concerning triple negative breast cancer prognosis
Prognosis of triple negative breast cancer compared to other breast cancer subtypes
Patterns of recurrence in triple negative breast cancer patients
Tumor characteristics influencing prognosis of triple negative breast cancer
Prognosis of African Americans and Latinas with triple negative breast cancer
Influence of BMI, metabolic syndrome and diabetes on triple negative breast cancer prognosis
Triple negative breast cancer prognosis according to age at diagnosis
To see all of the news stories and studies concerning triple negative breast cancer, click on the tripleNegative tag in the list of tags directly below.