4 common myths about breast cancer

Not so long ago we wrote about most common misconceptions about breast cancer. Here are some other myths about it:

1. “Mammograms are no longer necessary.”

There is no disagreement among experts that mammograms save lives, reducing mortality by 20 percent. Early detection leads to less harmful treatment and improved survival in all age groups.

Hopefully, we will see the day when we can identify low-risk women who may not need mammograms as early or as often. But now, 70 percent of women who get breast cancer do not have a family history of the disease. Risk is difficult to predict.

The American Cancer Society, National Comprehensive Cancer Network, American College of Radiology, American College of OB-GYN and Cleveland Clinic all continue to recommend annual screening mammograms beginning at age 40.

2. “The self breast exam is a thing of the past.”

Breast self awareness has replaced our recommendation for self exam. Awareness includes reporting any changes in your breast tissue to your healthcare provider.

But the best way to know if there are changes is to check yourself regularly, preferably the week after your menstrual cycle. Check particularly for breast lumps that may feel hard, like a frozen pea or lima bean.

Awareness also includes knowing your family history and updating it yearly, and knowing about behaviors that will reduce your risk.

3. “I feel something in my breast, but I recently had a normal mammogram. I’m sure I am OK.”

It’s important to understand mammograms aren’t perfect. Up to 15 percent of women have false negative mammograms; cancer may be present even if the mammogram is normal.

A study conducted over an eight-year period looked at 1,222 patients with newly diagnosed breast cancer. It found that 13 percent of these patients had a normal mammogram within 12 months before their diagnosis. Knowing your breasts can play a critical role in the early detection of breast cancer, even when you also have annual screening mammograms.

4. “All women should have the most aggressive breast cancer treatments possible.”

Breast cancer represents a wide range of disease, so there are many different treatment options. With personalized care, women often can be spared mastectomy or chemotherapy if it will not alter their prognosis. Alternatives to the traditional course of radiation are also now available.

Find a healthcare provider who takes time to explain the risks and benefits of any treatment options to you. You need to understand the best choice for your particular disease and body.

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