Breast cancer: Know the signs and why early detection matters - IOL

During Breast Cancer Awareness Month, there is one message I want every woman to hear: Your breasts deserve your attention.

As a radiologist with a special interest in breast imaging, I spend a lot of time looking at mammograms, breast ultrasound, and breast MRI scans. I meet women proactive about their health, worried about a symptom, have been called back for additional imaging, and who have received life-changing news.

Breast cancer remains one of the most common cancers worldwide. The good news is that when it’s detected early, treatment is often less invasive and outcomes are significantly better. Early detection can save your life.

The challenge is that breast cancer doesn’t always announce itself with a lump. Subtle changes in breast shape or size, skin dimpling, nipple changes, persistent pain, unusual discharge, or an area that simply feels different need to be checked by your doctor. That’s why I encourage you to know your own body, be familiar with what’s normal for you, so that you can be alert to any changes.

Screening is equally vital. Mammograms can detect cancers long before they can be felt, sometimes years before symptoms appear – but they aren’t the only screening tool. Age, family history, genetics, breast density and personal risk all influence which imaging approach is best. For some women, ultrasound or breast MRI may provide crucial additional information. 

Most importantly, don’t let fear keep you away. Knowledge is power. When breast cancer is detected early, treatment is often less invasive, and outcomes are significantly better. Even if you are told you need a biopsy, it does not automatically mean it’s breast cancer – it may be a benign lesion which needs to be tested for confirmation. 

And remember, breast cancer is not only a disease of older women. Younger women (and to a lesser degree, men) can be affected too, especially those with family history or genetic risk. Talk to your healthcare provider if you fall into these categories.

Don’t postpone your health checks. Make your appointment for a screening mammogram if you are 40 years or older or if you have noticed changes in your breast, no matter what age you are.  Ask questions. Follow up on symptoms. Encourage your mother, sister, daughter, or friend to do the same.

As radiologists, we meet women at pivotal moments. We see relief, courage, resilience, and hope every day. We also see the difference early detection can make.

This Breast Cancer Awareness Month, my appeal is simple: Make breast health a priority, not just in October but all year long. Your future self will thank you.