For those diagnosed with breast cancer, there’s reason for optimism: In most
cases, the disease is now very treatable. “Breast cancer has become much
more of a chronic illness,” says Leslie Paine, O.T.R., manager of the Markstein
Cancer Education and Prevention Center on the Summit Campus. “Today,
many breast cancer survivors live a full and active life.”
While medical treatments of cancer continue to advance, one thing remains
the same: The earlier breast cancer is spotted, the more effectively it can be
treated. So it’s important to make breast cancer screenings a priority.
Women should get regular clinical breast exams from a doctor or other
health care specialist, such as a nurse practitioner. This physical examination
can help detect any unusual changes in the breast. Experts recommend that
women get a clinical breast exam every three years in their 20s and 30s, and
then annually beginning at age 40.
The best available tool for breast cancer detection, however, remains the
mammogram, in which a low-dose X-ray is used to take images of the breast
tissue. Beginning at age 40, women should get an annual mammogram.
In some cases, women under age 40 may be candidates for breast imaging
as well. Younger women who have a suspicious lump or a family history of
breast cancer, for example, should be screened. “Generally, if you’re a woman
with an immediate family history—a mother, father, aunt, or uncle who had
breast cancer—and you know the age at which that person was diagnosed,
you should subtract 10 years from that age to determine when you should
start being screened,” Leslie says. “So if your relative was diagnosed at 45,
you would typically start being screened at 35.”
For younger women, mammography is not necessarily the best choice.
“Women’s breasts below the age of 40 are very dense because of the estrogen
our bodies are making,” Leslie says. “Oftentimes, when taking a mammogram
of a very dense breast, you just can’t see enough, so screening
ultrasounds, which use sound waves, are done instead.”
Experts also recommend women do regular self–breast exams. “We tell
women not to do self–breast exams expecting to find abnormalities but
rather to be familiar with the structure of your own breasts,” says Leslie.
“So many women just have lumpy breasts and thicknesses, so it’s important
to know what’s normal for you.” Should you notice any changes, of course,
make an appointment with your doctor.
| ENSURING CARE FOR ALL WOMEN |