As per WHO statistics report, there are about one in ten women have a lifetime risk of getting breast cancer. We have to remember that these estimates are based on the western databases and are averages. Such an incidence may be lesser or higher prevalence in the context of Manipur.

We have to be aware of the risk involvement of such problems, which varies depending on the presence or absence of predisposing factors such as family history of the disease, age at first period, age at first pregnancy, age at menopause, whether oral contraceptives have been used, and even the amount of alcohol consumed. In the menopausal women, risk factors include the use of hormone therapy and also obesity.

The worldwide trend of increasing breast cancer death rate has been reversed in several countries. This is greatly accounted by the growing success of large-scale mammographic screening programmes and new forms of treatment for those who have breast cancer.

So, women concerned about the possibility of developing the disease should know that the likelihood of subsequently dying of breast cancer is relatively small and is becoming smaller all the time. Women must be aware. Prevention is always better. Please follow the following given suggestions:

1. A clinical breast examination by an experienced breast care professional every year for women 20 yrs and older.
   

2. Monthly breast self exams.(BSE) for women 20 and older. Breast awareness is part of general body awareness. It is a process of getting to know your own breasts and becoming familiar with their appearances. Learning how your breasts feel at different times will help you to know what is normal for you and to recognize any irregularities, should they occur.
   

3. Annual mammograms for women 50 and older. A mammogram can help save your life. It can reveal the presence of a lump that is far too small to be found by touch. Despite these facts many women are still reluctant or unable to get their regular mammograms, while study after study claims that mammogram can help save your life.
   

In countries that provide a national breast screening programme, it has been found that 30% fewer lives were lost to breast cancer.

In women under the age of 50,more than half of all breast lumps are detected by clinical examination and only 25% by mammography.

Women with a family history of the cancer should consult with their Doctor about possible additional screenings starting at a younger age.

Early detection techniques: SELF EXAMINATION

• Breast cancer is one of the commonest cancers in women.
  
• Most breast cancers are discovered by the women themselves.
  
• Breast cancer found early and treated promptly has excellent prognosis for treatment. Therefore learning how to properly examine your breasts can help save your life.
  
• The best time to examine your breasts is two or three days after the end of your period, every month.
  
• After the menopause always check breasts on the first day of each month.
  

JUST REMEMBER:

a. It is normal for the breast to feel a little lumpy. It is only by regular examination and becoming familiar changes in how they look or feel.

b. If you find a lump or change in your breast during self-examination, do not panic. Most breast lumps are not cancerous but may still require treatment. Only a breast specialist can make the diagnosis.

c. Breast cancer is rare in women under the age of 40 yrs, nevertheless don't be afraid to raise a false alarm as early detection is your surest protection.

d. If you are worried do not hesitate to contact a Doctor.