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Two who have survived the ravages of breast cancer 

Breast Cancer and You


Approximately 186,000 women will be diagnosed with breast cancer in the United States this year and that of these, 39,600 women will die. Family history of breast cancer, early menstruation, and age, can increase a woman’s risk of breast cancer. However, all women are at risk and some women without any known risk factors also get breast cancer. 

The good news is that fewer breast cancer deaths would occur if women over age 40 had regular mammograms and performed monthly breast self-exams. Women who are active and keep fit after menopause can reduce their risk of breast cancer significantly and ‘Late-life exercisers’ can lower their risk by almost as much, even if they led inactive lives before the menopause.
 

Tips for Breast Cancer Detection

Breast Self-Exam
• If you are 20 years of age or over, check your breasts every month
Clinical Breast Exam by a Physician
• If you are 20 to 39, have your physician check your breasts every three years

• If you are 40 or over, this should be done every year
Mammography
• If you are 40 or over, you should have a mammogram every year


Be sure to consult your physician for full information.

How to Perform Monthly Breast Self-Examinations

If you menstruate, perform this examination a few days after your period ends. If you use oral contraceptives, do it on the day you begin a new pill pack.

•Stand in front of a mirror with your arms at your sides. Look for irregularities, puckering, dimples, changes in size or shape, or pushed-in or misshapen nipples.

•Look for the same changes while pressing your hands on your hips as you bring your shoulders and elbows forward.

Look again for changes while clasping your hands behind your head as you press your arms forward.

• Lie flat with a towel folded under your right shoulder for support and with your right arm under your head. use your left hand to examine your right breast. Examine your armpit. Repeat this procedure for your left breast.

• Standing, (some women do this in the shower, when their skin is lubricated by soap.) raise one arm and place the flat part of your fingers (not tips) on your breast’s outer edge. Feel for thickenings, lumps, or changes as you firmly guide your hand in small circles, moving toward the nipple. Examine your armpit. Use this procedure for both breasts.

• Gently squeeze both nipples and look for any discharge.

If your breasts are normally lumpy, note how many separate lumps you feel and their locations. Next month, check for changes, especially an increase in size that persists after your next period.

Warning Signs of Breast Cancer

Any new lump or area of your breast that is thicker or harder than the rest

• Nipple discharge, particularly if it is bloody or dark or occurs without squeezing your nipple

• A nipple drawing inward or pointing in a new direction

• Any change in the shape or symmetry of your breast

• Orange peel skin - areas of skin on the breast where the pores stand out

• Any lump or thickening that does not shrink or lessen after your next period

• Any puckering, dimpling or swelling of the skin on your breast or around the nipples

• Tenderness, redness or pain in your breasts

Questions and Answers about Mammography

A mammogram is an x-ray of your breasts that can detect a lump long before you might feel it during your monthly self-exam or even before your health care professional finds it during your regular clinical exam.

Q: Why is it important to find a lump early?

A: Finding a lump early increases your chances of surviving breast cancer, if breast cancer is diagnosed. And, when you find breast cancer early, you have more treatment options than when you find the cancer in a more advanced stage.

Q: If mammograms are x-rays, are they safe?

A: Yes. The techniques and equipment used for mammography are designed to deliver extremely low doses of radiation. Federal guidelines limit the radiation used for mammography. In practice, most mammograms deliver only a fraction of the specified amount of radiation.

Q: What’s it like to get a mammogram? Does it hurt?

A: When you get a mammogram, you stand next to a machine, and a specially trained technologist helps place your breast in the proper position on a plastic plate. A second plate is placed on top of your breast and, for a few seconds, a small amount of pressure is applied to the breast. This flattens the breast slightly so a good, clear x-ray can be taken. Two pictures of each breast are usually taken. You will feel a little discomfort during the process, but the process takes only about 15 minutes.

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Sources: National Cancer Institute. What you need to know about breast cancer. February 14, 2001. Available at: http://www.cancer.gov/templates/page_print.aspx?viewid=41a364e8-6f7e-4c6c-981a-fce1c07f9c5d
MyHealth Zone, website, Women's health, Breast Cancer. Copyright © 2002, Schering-Plough USA Baylor College of Medicine. The breast self exam. November 1, 1998. Available at: http://pw2.netcom.com/~jpender1/html/default_breast_self_exam.html
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