Breast cancer is the most common cancer
in women worldwide. It is also the principal cause of death from cancer
among women globally.
According to worldwide cancer statistics,
about 1.5 million women were told they had cancer of the breast in
2011. Current statistics suggest that one in eight women would have
breast cancer.
Oncologist at the Lagos University
Teaching Hospital, Idi-Araba, Dr. Folake Salako, defines cancer of the
breast as the type that develops from breast cells.
Salako says, “Breast cancer usually
starts off in the inner lining of milk ducts or the lobules that supply
them with milk. A malignant tumour can spread to other parts of the
body. A breast cancer that started off in the lobules is known as
lobular carcinoma, while one that developed from the ducts is called
ductal carcinoma.
Breast cancer is deadly; about 200,000
women die from the disease yearly. Sadly, experts say that one-third of
these cancer deaths could be decreased if detected and treated early.
While four out every five women diagnosed
with cancer in developed countries like Australia survive, four out of
every five women diagnosed with cancer dies in developing countries like
Nigeria.
Salako identifies late detection,
treatment and lack of awareness of the early symptoms of breast cancer
as factors that have increased the number of Nigerian women dying from
the disease.
How can cancer of the breast be detected
early? Apart from undergoing a medical screening, Head of Radiotherapy
and Oncology Unit at LUTH, Prof. Remi Ajekigbe, says every woman should
be familiar with her breasts so she can spot changes in them.
Ajekigbe says, “You must know your
breast. Check them regularly for unusual changes. It is one of the
simplest and cheapest ways to know if there is a problem. If you notice
any lump discharge or feel pain in your breast after a personal self
breast examination, go for screening. Most of the women we have
diagnosed with cancer came because they felt something in their breast.”
Self breast examination is a way one can
check the breast for changes such as lumps or thickenings. It can be
done in front of a mirror, in the shower and while lying down. For it to
be effective, it must be done right. Experts on www.WebMD.com give simple steps you can follow, If you choose to do self-breast exam at home.
In the mirror
- Stand undressed from the waist up in
front of a large mirror in a well-lit room. Look at your breasts. Don’t
be alarmed if they do not look equal in size or shape. Most women’s
breasts aren’t. With your arms relaxed by your sides, look for any
changes in size, shape, or position, or any changes to the skin of the
breasts. Look for any skin puckering, dimpling, sores, or discoloration.
Inspect your nipples and look for any sores, peeling, or change in the
direction of the nipples.
- Next, place your hands on your hips and
press down firmly to tighten the chest muscles beneath your breasts.
Turn from side to side so you can inspect the outer part of your
breasts. Then bend forward toward the mirror. Roll your shoulders and
elbows forward to tighten your chest muscles. Your breasts will fall
forward. Look for any changes in the shape or contour of your breasts.
- Now, clasp your hands behind your head
and press your hands forward. Again, turn from side to side to inspect
your breasts’ outer portions. Remember to inspect the border underneath
your breasts. You may need to lift your breasts with your hand to see
this area.
- Check your nipples for discharge
(fluid). Place your thumb and forefinger on the tissue surrounding the
nipple and pull outward toward the end of the nipple. Look for any
discharge. Repeat on your other breast.
In the shower
Now, it’s time to feel for changes in the
breast. It is helpful to have your hands slippery with soap and water.
Check for any lumps or thickening in your underarm area. Place your left
hand on your hip and reach with your right hand to feel in the left
armpit. Repeat on the other side. Check both sides for lumps or
thickenings above and below your collarbone.
With hands soapy, raise one arm behind
your head to spread out the breast tissue. Use the flat part of your
fingers from the other hand to press gently into the breast. Follow an
up-and-down pattern along the breast, moving from bra line to
collarbone. Continue the pattern until you have covered the entire
breast. Repeat on the other side.
The breast is said to be one of the essence of being a woman. Don’t wait till you lose it to cancer. Do a breast exam today!
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