BREAST CANCER
Popstar Kylie Minogue, who underwent mastectomy last year, is credited with having brought about more breast cancaer awareness among women than any hospital handout. Other world famous celebs who have fought breast cancer include singer Sheryl Crow and Betty Ford. Closer home we have event manager Deveika Bhojwani. The stats: 1 in 60 in.the age group 30 to 65 in rural India and 1 in 30 in urban areas are victims. The condition is targeting younger and younger women — the number of under-30s has
doubled in the last decade.
You are in the danger zone if you
have a history of breast cancer on either side of your family. Three of more direct relations in two generations, ups the risk by 50 per cent.
- have menstruated before 12
- have menopaused after 55
- have postponed childbirth until after 30
- are childless
- have more than three drinks a day so your risk is doubled
- have not breastfed adequately
- are frankly overweight
- carry the BCRA1 and BCRA2 genes
Ominous Clues
- a lump in the breast or under the arm
- tenderness in the breast
- blood-stained discharge from the nipple
- scaliness, dimpling or puckering of the skin around the nipple
- inversion of nipple
- change in general contour of the breast.
Confirmation
First remember, not every breast lump is cancerous; 80% are benign. Even if it is cancerous the breast can be saved, with lumpectomy or segmentectomy or reconstruction.
- A suspicious mammogram can be rechecked with
- an ultrasonography, to distinguish between fluid- filled and solid lump
- FNAC, a needle biopsy under local anaesthesia to examine the cells under microscope
- a biopsy of the lump itself
A breast only needs to go if the tumour is near the breast wall or has started spreading, although there are women who opt for a mastectomy if they are at high risk, before any lumps emerge.
The fight back plan
- Get to know your breasts at 20. Examine them sequentially from the periphery inwards with your palm.
- Have a mammography regularly after 50.
- Exercise and eat healthy to keep your weight down and lower estrogen-levels.
- If you’re married, have your children before you hit 30. Breast feed as long as possible.
- A blood test will determine if you carry the BCRA1 and BCRA2 genes.
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