Perform your breast self-exam at the same time of the month,
preferably a week after your period begins. Start by looking at
your breasts in the mirror with your hands on your hips, checking
that your breasts look normal and don't have any swelling, dimpling
or puckering of the skin. Then raise your arms above your head and
check them again. Squeeze your nipples gently to make sure they
don't produce any discharge. Using several fingers, feel each
entire breast, using enough pressure that you can feel all of your
breast tissue. Lie down and repeat the process on each breast. If
you notice anything new or unusual, see your doctor to have it
You can find more detailed information about breast self-exams
Susan G. Komen For the Cure and www.breastcancer.org.
Three winters ago, I found a lump in my breast. I was taking a
shower on a Saturday morning and doing my monthly self-exam when I
felt a hard, distinct lump on the upper left side of my left
breast. I prodded and poked, but it didn't go away. My heart
pounding, I climbed out of the shower and called my husband. I
placed his fingers on my breast. "Can you feel that?"
He looked at me and nodded. Monday morning I called my
obstetrician/gynecologist and scheduled a mammogram-my first. At
39, I'd been thinking of going in for a baseline, or first
mammogram, but had been busy with my 6-month-old son.
Now a mammogram was my first priority.
Though I'd heard horror stories, my mammogram wasn't
uncomfortable, and the technician was warm and gentle. The fear of
what she might find was far worse. The radiologist came in to show
me the films and to tell me that I needed a needle biopsy. He said
the lump wasn't a cyst, a fluid-filled sac, and it didn't appear to
be due to fibrocystic changes, which are considered a normal
variation of breast tissue. While the lump didn't look cancerous,
the radiologist explained that it's impossible to tell what it is
without examining the breast tissue itself.
After considering my options and talking it over with my
husband, I decided to have the lump removed with a minor surgical
procedure called a lumpectomy. I figured if the lump was cancerous,
the sooner it came out, the better. Even if turned out it wasn't, I
didn't want to keep that hard grape-sized mass in my breast. I
found myself touching it and worrying about it all the time.
My outpatient surgery took about an hour; I checked into the
hospital in the morning and was home that afternoon. My breast was
sore, both where the incision had been made and inside where the
lump had been cut out, but otherwise I felt fine-especially when my
doctor called to tell me the lump had been a fibroadenoma, a benign
mass that only rarely becomes cancerous.
Chances are you've heard the frightening statistic "1 in 7"-that
one in seven women will develop breast cancer during their
lifetimes. Some risk factors, like family history, can't be
changed, but others can.
You can reduce your risk of breast cancer in your 20s, 30s, 40s,
50s and beyond.
According to the Centers for Disease Control and Prevention,
breast cancer is the second most commonly diagnosed cancer among
American women. However, your chance of developing it in your 20s
is relatively low-less than 0.5 percent of women will get breast
cancer before the age of 39. Here's how you can help keep that risk
Check out your family history. The biggest risk for breast
cancer has to do with your genes. If you have certain genetic
mutations, called BRCA1 or BRCA2, you're at much higher risk for
developing the disease. "Somewhere between 20 and 30 percent of
those women will have breast cancer by the age of 40, and 50
percent will have it by the time they're 50," says breast cancer
specialist Suzanne Mahon, DNSc, RN, clinical professor of
hematology/oncology at Saint Louis University School of Medicine.
"Over a lifetime, it's about a 95 percent risk."
A simple blood test can tell you whether you carry one of the
mutations, but it's expensive, costing about $3,100. There are also
significant emotional and psychological consequences of testing to
consider as well as the risk of discrimination by insurance
companies if you do have the genetic abnormality.
In any case, you should definitely examine your family history.
"Women really need to inquire about anyone with breast cancer,
especially before the age of 50," says Mahon. If your family
history is significant, talk to someone with an expertise in
genetics to help determine your individual risk.
Maintain a healthy weight. Staying trim doesn't just look
good-it helps reduce your risk of breast cancer, says Dr. William
Wood, professor and chairman of the department of surgery of Emory
University Hospital in Atlanta. "We know that obesity causes more
cases of breast cancer, and also it influences how well someone can
physically cope with the cancer." If you're already at a healthy
weight, great; if you have extra pounds, work on losing the excess
now while you're young.
Eat a variety of fruits and vegetables. Researchers are studying
the effects of diet on breast cancer risk. According to the
National Cancer Institute, it's not yet proven that a low-fat diet
or a diet rich in fruits and vegetables will prevent breast cancer,
but a diet rich in beta-carotene may decrease your risk. Eat a
healthy diet that includes foods high in beta-carotene such as
broccoli, carrots, tomatoes, squash, peaches, apricots and
Check your breasts. Your doctor will perform a breast exam at
your annual checkup, but you should do regular monthly breast exams
as well. Circle the calendar and examine your breasts at the same
time every month-one week after your period starts. That's when
you'll have the lowest level of hormones that produces nodularity,
or lumpiness, making your breasts easier to examine.
Have a baby (if you want to!) If you become a mom before the age
of 30, your risk of breast cancer is also somewhat lower. Your
breasts complete their development after a first pregnancy, which
makes them less sensitive to carcinogens, or cancer-causing
substances, says Mahon.
Continue to check your breasts every month, and if you notice
anything unusual, have your doctor check it out immediately.
Maintain your healthy diet, and:
Watch your alcohol intake. Go easy on the margaritas-alcohol
consumption increases the risk of breast cancer. "One drink a day
is OK," says Wood. "Two drinks a day puts you at an increased risk,
and three drinks a day puts you at 50 percent more risk."
Get moving! Being thin isn't enough-if you're a couch potato,
you're also at slightly higher risk to develop breast cancer.
Maintain a healthy weight and try to get at least 30 minutes of
moderate physical activity every day to reduce your risk of breast
cancer and other diseases. It's a great habit to have early on.
Consider switching birth control. While higher-dose oral
contraceptives of the past were associated with a small increased
risk of breast cancer, today's pills contain a lower dose of
hormones. The available data, however, suggests a slightly
increased risk, so consider whether the benefits of the pill
outweigh the risk of taking it. If you have a family history of
breast cancer, for example, you may want to choose a different form
of birth control.
When you reach your 40s, your risk of developing breast cancer
increases. "Getting older is a risk factor you can't change-it's
somewhat related to the number of total ovulatory cycles that a
woman has over a lifetime," says Mahon. Your risk is a bit higher
if your first menstrual period is before the age of 12, and if you
have a relatively late menopause.
Get a baseline mammogram-and annual ones thereafter. At 40,
schedule your first mammogram. If you know you have a high
hereditary risk or known mutation, though, you may start with a
baseline as early as age 25.
Stay active. Keep up your healthy eating habits and maintain a
regular exercise program. Strength-building exercise like lifting
weights helps you maintain muscle tone and increases the number of
calories your body burns even at rest, and aerobic exercise burns
calories and improves your cardiovascular fitness as well.
Skip the soy? Researchers aren't sure whether soy, which has a
pseudo-estrogenic effect, can increase a woman's risk of developing
breast cancer. If you have significant risk factors, you may want
to avoid this food.
You're most likely to develop breast cancer after the age of 50;
according to the Centers for Disease Control and Prevention, 75
percent of breast cancer cases occur then. Your risk gradually
increases as you age; if you live to be 90, you have a 1 in 7
chance of developing the disease.
The same advice applies to older women as to younger, but annual
mammograms are even more important now because of the heightened
risk. In addition to the above advice:
Question hormone replacement therapy. Just as taking the pill
may cause a small increase in the risk of breast cancer,
postmenopausal women may increase their risk by taking HRT, or
hormone replacement therapy. Women should consider the risks and
benefits of HRT before going on the regime-if you have a
significant family history of breast cancer or have had breast
abnormalities before, HRT may not be worth the risk.
The bottom line? Embracing a healthy lifestyle throughout your
life is the best strategy to help you avoid developing breast
cancer, but regular self-exams and mammograms after the age of 40
are also important. They make you more likely to discover symptoms
of breast cancer earlier, making it easier to treat and cure.
Kelly James-Enger is a former lawyer, a mom of two and a freelance writer.
See more of Kelly's stories here.
What to do with your weekend, delivered every Thursday.
Great deals and chances to win prizes, delivered every Monday.
Exclusive offers from our partners,usually delivered twice a week.
Resources for parents of children with special needs,delivered the second Tuesday each month.