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2340 Apple FEB MARCH 2016 MkII FINAL PROOF2

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How do you feel?<br />

20% of breast cancers can be found by self examination<br />

One in eight women will contract breast cancer. It is the commonest<br />

cancer in the UK with 80% of cases recorded in women aged over 50.<br />

by Dr. Sylvia Abramov<br />

85% of patients survive breast cancer for 5 years or<br />

more so early detection is essential. Some risk factors<br />

are inherited, a history of breast cancer or other breast<br />

conditions, an early start of periods or late menopause<br />

also increases the likelihood of breast cancer.<br />

Other factors include the use of hormones in the<br />

contraceptive pill, a late first pregnancy (over 30 years<br />

old), obesity, smoking, excessive drinking and postmenopausal<br />

HRT. No scientific evidence supports the<br />

theory that antiperspirant, tight bras, termination of<br />

pregnancy or breast implants impact on risk. However,<br />

prolonged breastfeeding seems to be protective, as<br />

well as exercise.<br />

Brisk walking for just two hours a<br />

week reduces the risk of breast<br />

cancer by 18%<br />

About 20% of breast cancers are found by physical<br />

examination rather than mammography. Look in the<br />

mirror for uneven breast size or shape, nipple changes<br />

or discharge, or a rash. Check with arms raised too.<br />

Feel your breasts while lying down. Use the pulp of<br />

your fingers to check the opposite breast in small<br />

circular movements. Start from the nipple and move in<br />

larger circles, covering the whole breast to the armpit.<br />

Breasts can feel lumpy, but you are looking for a lump<br />

that feels different from the rest of the glandular tissue,<br />

or a palpable lymph node in the armpit. Regular selfexamination<br />

helps to identify changes early. Not all<br />

lumps are cancer but if in doubt, consult your Doctor.<br />

If a lump or nipple discharge is found, or as a regular<br />

screening tool for women between 50 and 70, a<br />

mammogram may be carried out. MRI scans can be<br />

used for screening high risk women too, or to examine<br />

a suspicious area. If an abnormality is detected, a biopsy<br />

is the only way to tell if cancer really is present.<br />

JDoc365 provides breast screening, advice and, where<br />

appropriate, referral to consultant breast surgeons. Call<br />

0800 043 1492 for an appointment today.<br />

6 JDOC365 APPLE MAGAZINE

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