Once again it is time celebrate the arrival of spring; it’s sunshine providing a natural boost to our senses, reviving our mental, emotional and physical wellbeings. This provides a perfect opportunity for us women to have our annual check-ups. October is dedicated to breast cancer awareness and screening. Cancer is a taboo topic in our homes, yet everyone needs to be well informed and educated about the risks, screening, diagnosis and treatment. Breast cancer along with cervical cancer has been identified as a national priority for women in SA. They are the most prevalent cancers and leading causes of death amongst SA women. Breast cancer is curable if detected early!
CANSA (Cancer Association of South Africa) outlines the risks:
- Genetic -BRCA 1 and BRCA 2 Gene positive. ( strong family history). Angelina Jolie is a prime example of BRCA gene positivity and had surgery to prevent breast and ovarian cancer which included removing both breasts (bilateral mastectomies)
- Lifestyle: low levels of Vitamin D, alcohol and smoking, overweight and obese women
- HRT (hormone replacement therapy): this should be discussed with your gynaecologist
So how do we screen for breast cancer?
- Breast self-examinations, if done correctly. Instructions are available on cansa.org.za
- Mammograms: at least 1 to 2 yearly starting at the age of 40. Those at high risk should do them yearly at the age of 35
- Clinical breast examination: this should be done annually by your gynaecologist.
What if I find a lump?
- Present immediately to your GP or Gynaecologist. They will examine to confirm a lump is present
- If there is a lump, you will be referred to a breast surgeon who will use ultrasound, mammogram or even an MRI to determine if the mass requires a biopsy
- If the breast surgeon decides on a biopsy, the result could be cancer or not cancer (benign)
- If found to be cancer, the breast surgeon will involve the oncologist and you will be managed in a multi-disciplinary setting where modalities of treatment will include one or a combination of the following:
- Surgery
- Chemotherapy
- Radiotherapy
- Hormonal therapy
Prognosis depends on the stage of breast cancer. Early detection saves lives!
Be smart… Be safe… Commit to Breast cancer screening!
Visit your GP or gynae for regular pap smear too.
By Dr Navashree Dhaver, Specialist Obstetrician and Gynaecologist
- Suite 402, Umhlanga Medical Suites, Netcare Umhlanga Hospital
- No. 1 Chelmsford Medical Centre, St Augustines Hospital