DID YOU KNOW?
In 2017, it's estimated that among U.S. women there will be*:
252,710 new cases of invasive breast cancer
40,610 breast cancer deaths
*American Cancer Society. Cancer Facts and Figures 2017. Atlanta, GA: American Cancer Society, 2017.
What is Breast Cancer? What do you know about breast cancer?
Cancer is a disease in which cells in the body grow out of control. When cancer starts in the breast, it is called breast cancer. Except for skin cancer, breast cancer is the most common cancer in American women.
Breast cancer screening means checking a woman’s breasts for cancer before she has any symptoms. A mammogram is an X-ray picture of the breast. Mammograms are the best way to find breast cancer early, when it is easier to treat and before it is big enough to feel or cause symptoms.
Most women who are 50 to 74 years old should have a screening mammogram every two years. If you are 40 to 49 years old, or think you may have a higher risk of breast cancer, ask your doctor when to have a screening mammogram
Some things may increase your risk:
The main factors that influence your breast cancer risk are being a woman and getting older.
Other risk factors include--
• Changes in breast cancer-related genes (BRCA1 or BRCA2).
• Having your first menstrual period before age 12.
• Never giving birth, or being older when your first child is born.
• Starting menopause after age 55.
• Taking hormones to replace missing estrogen and progesterone in menopause for more than five years.
• Taking oral contraceptives (birth control pills).
• A personal history of breast cancer, dense breasts, or some other breast problems.
• A family history of breast cancer (parent, sibling, or child).
• Getting radiation therapy to the breast or chest.
• Being overweight, especially after menopause.
Some warning signs of breast cancer are—
• New lump in the breast or underarm (armpit).
• Thickening or swelling of part of the breast.
• Irritation or dimpling of breast skin.
• Redness or flaky skin in the nipple area or the breast.
• Pulling in of the nipple or pain in the nipple area.
• Nipple discharge other than breast milk, including blood.
• Any change in the size or the shape of the breast.
• Pain in the breast
Other conditions can cause these symptoms. If you have any signs that worry you, call your doctor right away.
What can I do to reduce my risk of breast cancer?
Many factors over the course of a lifetime can influence your breast cancer risk. You can’t change some factors, such as getting older or your family history, but you can help lower your risk of breast cancer by taking care of your health in the following ways--
Staying healthy throughout your life will lower your risk of developing cancer, and improve your chances of surviving cancer if it occurs.
What should you do?
I currently recommend breast self awareness. This means that you know your own breasts. You look at them in the mirror and check for any changes in the skin or shape. You should feel your breasts periodically, if you are still having periods, it is best to do so after your period because the breasts are less tender and "lumpy" at that time. You can do this check standing up or lying down or both. It is good to check them both ways because there are different factors affecting what you are able to feel in those positions. Maybe alternate checking in the shower one month with in bed the next...
What are you feeling for? Well, initially I suggest that you just get an idea what your breasts feel like. You may or may not be able to feel your ribs depending on the size of your breasts. It is likely that you will feel differences in texture throughout your breasts.
Oh, I want to be sure to remind you to include your underarm and the tail of the breast which extends between your breast and armpit as shown in these pictures, the breast tissue and the lymph nodes around it extend beyond what many of us think of as our breasts.
If you feel a lump in your breast, try not to panic or worry. Most lumps are not breast cancer, but something less serious, such as a benign (not cancer) breast condition. Most common are cysts or inflamed ducts and lymph nodes from other irritants.
However, if you find a lump (or any change in your breast or underarm area), it's best to see a doctor to be sure it's not breast cancer.
Currently, several agencies have determined that the evidence for breast self exam or examination of the breasts by your doctor for screening purposes is not sufficient to recommend them. This means that the data and statistics don't show enough cancer is found that way to make it cost effective and there are more "false positives" leading to work up for something that is not cancer and would probably go away on it's own.
I am still happy to do an annual breast exam during your well woman check up.
Also, if you ever have symptoms of concern as listed above or feel something that has changed during your breast awareness checks please come see me or your regular doctor to have it checked right away!
As mentioned above, Mammograms are definitely recommended.
Whether you should have one every year or every other year is something that needs to be discussed with your doctor. Additionally, when to start your mammogram testing is an individualized discussion. For low risk women, the current recommendation is every other year from 50 to 75. I am happy to take the time necessary to review your history and help you to make an informed decision regarding these issues if you are one of my patients, otherwise, please have this conversation with your doctor.
Questions, concerns, comments?
Please feel free to comment below. I am excited for the opportunity to share information and my expertise and experience with you.
Are concerned that you can’t afford a mammogram?
If you have a low income or do not have insurance and are between the ages of 40 and 64, you may qualify for a free or low-cost mammogram through CDC’s National Breast and Cervical Cancer Early Detection Program. To learn more, call (800) CDC-INFO
If you have any questions about how to care for your body, including your breasts please feel free to make an appointment to see me or your primary care physician.
Website sources for photos and information: the CDC, Susan G Komen foundation, nationalbreastcancer.org, breastcancer.org, theartguts.com
Be safe. If you are not safe, reach out. No one deserves to be abused.
Notice the people around you. If the statistics quoted here from the National Coalition Against Domestic Violence (NCADV) are accurate (unfortunately they are, and they have not changed in 20 years), there are people all around you who are or have been victims of intimate partner violence(IPV). IPV does not discriminate based on socioeconomic status, race, educational level, sexual orientation, gender, or religious background. The victim or survivor may be you. Your friend. Your child's friend.
People should be able to feel safe in their own homes. Don’t you agree?
It would be great if you can volunteer time or donate money to help in this cause.
What would be even better is if you act:
Call the police if you hear something suspicious or if you see someone being hurt. Interfering on your own in a violent situation can be dangerous, but you can call the police.
Help by changing the cultural norms: don’t turn a blind eye, don’t buy into excuses that someone made him or her act violently. Don’t tolerate this behavior. Don’t glorify violence in our society.
To borrow the common quote “if you see something, say something”. You can be the change you want to see and help stop domestic violence.
If you suspect family members or friends are being battered ...
ASK if they are safe at home? Are they in need of help?
TELL them FREE and CONFIDENTIAL counseling, support and shelter are available through the YWCA. SUPPORT them by offering a ride to the shelter or babysitting while they’re accessing help. CALL 911 or the local emergency number immediately if you see or hear someone being hurt.
If you suspect family members or friends are batterers ...
ASK if they know domestic violence is a crime and that they could lose their children, friends, homes and jobs if it doesn’t stop. TELL them there are no excuses for abuse and you intend to hold them accountable for their unacceptable behavior. SUPPORT their efforts to locate and obtain appropriate batterer intervention treatment. There are programs available through the YWCA. CALL 911 or the local emergency number immediately if you see or hear someone being hurt.
Here on Kauai, we have the YWCA: http://ywcakauai.org/domestic-violence
24-hour CRISIS hotlines:
To honor victims and survivors of domestic violence and sex assault, the YWCA hosts a Candlelight Vigil –
“I Can See the Light” – October 18th, 5-7pm at St. Michael’s & All Angels Church.
Childcare provided from 5:45-7pm. For more information call 245-8404 or visit the website.
Emergency Family Violence Shelter Donation Wishlist:
Various Gift Cards: (examples, but not limited to) *Walmart *Kmart *Costco *Longs *Gas Cards
Statistics quoted are courtesy of the National Coalition on Domestic Violence
If you click next to the foot notes it will give the link to the source.
Thank you. Be safe. If you are not safe, reach out. No one deserves to be abused.
Dr. Collins is interested in the health and well being of the individual, community, and planet.