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Be Aware, Be ALIVE

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Posted: Oct 17, 2007 at 0000 hrs IST

Pune, October 16 October is international breast cancer awareness month. Breast cancer is the second most common cancer in Indian women. The incidence is more in urban than rural women and is more prevalent in the higher socio-economic groups. Due to rapid urbanization and westernization of lifestyles, there is a rising incidence of breast cancer in India. According to The International Agency for Research on Cancer, which is part of the World Health Organisation, there were approximately 79,000 women per year affected by breast cancer in India in 2001 and over 80,000 women in 2002.

Typically, breast cancer arises from cells lining the milk ducts and slowly grows into a lump. It is thought that it takes about 10 years for a tumour to become 1 cm in size starting from a single cell. A malignant tumour has the ability to spread beyond the breast to other parts of the body via the lymphatics or the blood stream.

Other than preventable causes like abstinence from alcohol, smoking, obesity and a fat-rich diet and non-preventable causes like family history, age, race and reproductive and menstrual history, what hampers its treatment is also lack of proper knowledge about the condition.

Dr Anupama Mane, breast surgeon, Ruby hall Clinic attempts to dispel some commonly held misconceptions about breast cancer.

*Myth: Finding a lump in your breast means you have breast cancer.
*Truth: Eight out of ten lumps are benign, or not cancerous. If you discover a persistent lump in your breast or any changes in breast tissue, it is very important that you see a doctor immediately. Sometimes women stay away from medical care because they fear what they might find. Take charge of your own health by monthly self-exams, regular visits to the doctor, and regularly scheduled mammograms.

* Myth: Men do not get breast cancer.
*Truth: While the percentage of men who are diagnosed with breast cancer is small, men should also give themselves monthly exams and note changes to their doctors. Breast cancer in men is more aggressive and tends to be detected late, due to which the prognosis becomes poorer for men. * Myth : A mammogram can cause breast cancer to spread.
* Truth : An x-ray of the breast is called a mammogram. The x-ray and the compression on the breast from the x-ray machine cannot cause cancer to spread.

* Myth: Having a family history of breast cancer means you will get breast cancer.
* Truth: While women who have a family history of breast cancer are in a higher risk group, most women who have breast cancer have no family history. If you have a mother, daughter, sister, or grandmother who had breast cancer, you should have a mammogram five years before the age of their diagnosis.

* Myth: Breast cancer is a communicable disease.
* Truth: You cannot catch breast cancer or transfer it to someone else’s body. Breast cancer is the result of uncontrolled cell growth in your own body.

*Myth: Using antiperspirants can increase the risk of breast cancer
* Truth: There is no evidence supporting the myth that using any common deodorants or antiperspirants increases the risk of breast cancer..

* Myth: Taking birth control pills can give you breast cancer
* Truth: This misconception is due to the fact that birth control pills contain doses of hormones used to regulate the menstrual cycle. Though these hormones, estrogen and progesterone do not cause women to develop breast cancer, several studies have concluded that taking birth control pills may slightly increase the risk of breast cancer later in life. This theory is still being tested, and as of now, there is no definite answer to this yet.

* Myth : Surgery for breast cancer means removal of whole breast (Mastectomy)
* Truth : For early breast cancer, there is no need for removal of the whole breast .It has been proved in several trials that breast conservation surgery is equally safe and effective as mastectomy and the cosmetic results are excellent.

Signs of breast cancer:
* Painless lump in the breast
* Dimpling of skin over breast
* Change in contour over the breast
* Rash or ulcer over the nipple
* Indrawing of the nipple
* Blood stained discharge through the nipple
* Ulceration (erosion) of the nipple
* Lump or fullness in the armpit
* Arm swelling

If any of these is found in the breast self examination, consult your docto immediately. Remember that early detection leads to complete cure.

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