Breast cancer is the most frequently diagnosed malignancy in women. Consequently, women should become actively involved in routine breast screening. This protocol includes monthly self-examinations, a yearly examination by a healthcare professional, and an annual mammogram beginning at age 40. Women with strong family histories of breast or gynecologic cancer, a personal history of cancer, or other risk factors, may require earlier and more frequent examinations. Any abnormality identified on physical exam or mammography will require additional investigation. Often, your physician will order tests such as ultrasound or MRI to further characterize these findings.

When necessary, a tissue sample of the area in question will need to be obtained. If a lump can be felt in the breast, or if it can be seen on ultrasound, this area can easily be sampled in the office under ultrasound guidance using an automated core biopsy device. This requires no sedation or sutures, and is very accurate in acquiring tissue for the pathologist to examine. If the area in question can only be identified on mammography, then a sample must be taken either by a stereotatctic biopsy performed in the radiology department, or by a needle localized biopsy performed under sedation in the operating room. Your surgeon will discuss your options thoroughly, and assist you in making decisions regarding the type of biopsy best suited to your situation. The good news is that the majority of biopsies performed for suspicious areas in the breast prove to be benign (non-cancerous) lesions. The goal of breast screening is to identify breast cancer early, for early detection gives the best opportunity for cure.

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Wherever you are, whether an office, classroom or social event, count the number of women in the room – and one in eight will have breast cancer in their lifetime. If you don’t know anyone who has had breast cancer, the statistic may not mean so much, but it should. Although it is linked to genetics, like any disease it does not know the boundaries of a genetic line. It could be you, or someone close.

The great news is that there are things you can actively do to limit your chances of breast cancer. This month is National Breast Cancer Awareness Month, so it is a great time to learn more and take steps to reduce your risk. Following are some key things you can do, according to the American Cancer Society:

. Catch it before it catches you. Do monthly self exams. Get annual mammograms. This is especially important for women over 40. For women in their 20s and 30s, clinical breast exams should be done at least every 3 years.
. Eat right. Eat a healthy diet, and try to control your weight. Obesity raises breast cancer risk.
. Get up and Move. Regular exercise, at least 30 minutes a day, 5 days a week, helps reduce the risk.
. Talk to you doctor. Perhaps most important, be sure to talk to your doctor if you notice any changes in your breasts or have any other concerns. Err on the side of caution.

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