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Keeping abreast of the changes


Ahead of October’s National Breast Cancer Awareness Month, Mr Haresh Devalia’s breast clinic at the


Nuffi eld Health Hospital Tunbridge Wells set out the ABC of breast examination – A = Awareness, B = Basic breast facts and C = Changes to look for and feel


out an Awareness fi ve-point plan for women for breast cancer awareness.


B


A = Awareness 1. Know what is normal for you. 2. Look and feel. 3. Know what changes to look for. 4. Report any changes without delay. 5. Attend breast screenings.


B = Basic breast facts Most breast lumps are benign and related to hormonal changes, while most breast pain is hormonal in origin. Only 3% or less of people with breast pain will have breast cancer.


The most common solid breast lump is a


benign fi broadenoma. Breast cysts are common in women in


their forties. The most common cause of bilateral


(both) breast nipple discharge is hormonal. A spontaneous or blood stained discharge or unilateral single duct breast discharge (discharge from only one milk duct) will require further assessment and may require further intervention. There is good evidence that the sensitivity (confi dence in what they feel) of a doctor from a clinical examination alone is less than 80% accurate. On the other hand, the diagnostic accuracy of a triple assessment is more than 99%. This includes clinical examination, radiological examination (mammogram and/or ultrasound) and if required a biopsy. This can be accomplished in a single visit to Mr Devalia’s dedicated one- stop breast clinic at the Nuffi eld Hospital. The most common risk factors for breast


cancer are being a woman and getting older. Genetic breast cancers (e.g. BRCA genes) are rare. At the Nuffi eld Hospital, we carry


out a routine family history assessment and offer other facilities (i.e. regular screening and gene tests). Breast screening detects cancer in the earlier stage and has a better prognosis. It saves lives.


C = Changes to look for and feel • Change in the shape and size of the breast.


• Pulling in of the nipple (nipple retraction).


• Look for pulling in of the skin on arm elevation.


• Spreading redness. • Look for staining of the bra. It indicates spontaneous discharge. Look for blood stains.


• Feel for new lumps in the breast. • Feel for lumps in both armpits.


reast cancer is common and the lifetime risk is one in eight. The NHS Breast Screening Programme sets


Have your breast concerns addressed by our consultant and fi nd out what to look for with Mr Haresh Devalia, Consultant Breast and Oncoplastic Surgeon, on Wednesday 11th October at 7pm at Nuffi eld Health Tunbridge Wells Hospital, Kingswood Road, Tunbridge Wells TN2 4UL. For more information or to book your place, visit www.nuffi eldhealth.com/bookings/tunbridge-wells


Image licensed by Ingram Image © lev dolgachov


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