Breast cancer myths

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Breast cancer is one of the most common cancers affecting women in the United States, with about 1 in 8 women developing invasive breast cancer during her lifetime.

Because breast cancer is so common, there’s no shortage of information (and misinformation) about it, especially with more individuals turning to online sources and social media with questions.

Separating fact from fiction when it comes to breast cancer information is critical.

Understanding your personal risk, knowing the signs of the disease and following recommended screening guidelines can help you take an active role in your breast health.

Myth 1: If breast cancer doesn’t run in my family, I’m not at risk.

Fact: Most women who are diagnosed with breast cancer do not have a family history of it.

The American Cancer Society estimates that about 5% to 10% of all cancers are directly caused by inherited gene changes, with approximately 1 in 10 cases being hereditary.

When discussing your family history with your doctor, mention breast, ovarian, pancreatic, prostate and other cancers diagnosed in close relatives on either side of your family.

If your history suggests an increased risk, ask your healthcare provider whether genetic counseling or a high-risk breast cancer assessment may be appropriate for you.

Myth 2: Breast cancer only affects older women.

Fact: Breast cancer can occur at any age.

Breast cancer is more common in middle-aged and older women, but younger women can develop the disease, too. About 1 in 10 women diagnosed with the disease are younger than 45.

Your age is just one factor that impacts your risk of breast cancer. Family history, inherited gene changes, breast density, reproductive history, previous radiation treatment and other factors also play a role.

Myth 3: If I don’t feel a lump, I don’t have breast cancer.
Fact: Breast cancer does not always cause a lump.

A new lump or mass in the breast is the most common symptom of the disease, but it’s not the only warning sign. Some breast cancers are detected on a screening mammogram before a person notices any symptoms.

Other possible symptoms include:
• Swelling of the entire breast or a part of the breast
• Skin dimpling or texture resembling an orange peel
• Red, dry, flaky or thickened breast or nipple skin

• Nipple retraction (turning inward)
• Irregular nipple discharge
• A change in breast size or shape
• Breast or nipple pain
• Swollen lymph nodes under the arm or near the collarbone

Myth 4: Mammograms can wait until I’m 50.
Fact: It’s recommended to begin routine mammography before the age of 50.

The American College of Radiology and the American Society of Breast Surgeons recommends that women aged 40 and older receive annual screening mammograms.

Your personal screening schedule may be different if you have a higher-than-average risk of breast cancer. Talk with your doctor about when you should begin your screenings and whether you need additional imaging.

Myth 5: There’s nothing I can do to lower my breast cancer risk.
Fact: You can’t control every risk factor, but some lifestyle choices can help you lower your risk.

Some breast cancer risk factors – like age, genetics and family history – cannot be changed, but there are steps you can take to support your overall health and potentially reduce your risk for breast cancer:
• Limit alcohol
• Maintain a healthy weight
• Stay physically active
• Don’t smoke
• Choose a healthy diet

J. Eric Turner, M.D., is a board-certified, fellowship-trained medical oncologist with Beaufort Memorial Oncology Specialists. He treats patients with a wide variety of cancers at the Keyserling Cancer Center in Beaufort, employing therapies such as chemotherapy, hormonal therapy, biological therapy, immunotherapy and targeted therapy.