Early Detection of Breast Cancer: Expert Insights

Breast cancer remains one of the most common cancers affecting women globally¹. Early detection is crucial for effective treatment and recovery². We gathered insights from renowned surgeons to understand the importance of early detection, the role of mammograms, and what to expect during a breast biopsy. Their responses provide a comprehensive overview of breast cancer screening and its significance.

Why is early detection of breast cancer so important?

Prof. Dr. med. Matthias Reichenberger, Head of the Department of Plastic Surgery at ETHIANUM clinic in Heidelberg, Germany, emphasizes the critical nature of early detection, stating:

“The examination is quick and relatively painless and can sometimes help to detect breast cancer at an early stage, especially if the tumours are close to the skin. What is also very important, is that if breast cancer is detected early, the cure rate and the chances of recovery are much better and the therapy that goes with it is - and this is very important - less and less stressful.”

Understanding mammograms and their importance

Dr. Miguel Angel Oller, mastologist specialist in oncological and reconstructive breast surgery, Medical Director of the Braca Breast Care Center in the Dominican Republic, provides an in-depth explanation of the significance of mammograms:

“Mammography is the imaging study par excellence for the early detection of breast cancer. It is the only diagnostic tool that has had a positive impact on reducing breast cancer mortality by 35% in healthy women who undergo regular mammography screening from the age of 40 years (when it is recommended to start screening) or in younger patients who due to a higher personal risk of developing the disease, are recommended to start before such age. Therefore, efforts should be made to ensure that the population of women in this group receive in some way mammographic screening of their breasts whenever appropriate, with the aim of detection at a potentially curable stage.”

Dr. Oller highlights the importance of state-of-the-art equipment and specialized radiologists in ensuring accurate results:

“It is crucial that the study is done on state-of-the-art equipment, ideally by tomosynthesis, which is now well-established and produces superior images compared to conventional 2D mammography, especially in women with dense breasts, as these hide more lesions within the hyperdense glandular areas.”

Furthermore, Dr. Oller points out the long-term benefits of regular mammograms:

“In general terms, with screening mammography we may be able to treat breast cancer several years before it is palpable, and often when the disease is not yet invasive, which has a cure rate of close to 100% with surgery alone, and without the need for chemotherapy, although other complementary treatments may be required depending on the case.”

What to expect during a breast biopsy:

When a suspicious area is found during a mammogram or other breast exams, a breast biopsy might be recommended. Dr. Martin Colombo, a renowened plastic surgeon from Buenos Aires, Argentina, explains the procedure:

“A breast biopsy is a procedure to remove a sample of breast tissue for testing. The tissue sample is sent to a lab, where doctors who specialize in analyzing blood and body tissue (pathologists) examine the tissue sample and provide a diagnosis. A breast biopsy might be recommended if you have a suspicious area in your breast, such as a breast lump or other signs and symptoms of breast cancer. It can also be used to investigate unusual findings on a mammogram, ultrasound or other breast exam.”

Dr. Colombo details the various biopsy procedures and what patients can expect:

“Several breast biopsy procedures can be used to obtain a tissue sample from the breast. Your doctor may recommend a particular procedure based on the size, location and other characteristics of the suspicious area in your breast. For many biopsies, you'll get an injection to numb the area of the breast to be biopsied. With all types of breast biopsy except a surgical biopsy, you'll go home with only bandages and an ice pack over the biopsy site. Although you should take it easy for the rest of the day, you'll be able to resume your usual activities within a day.”

Conclusion

As highlighted by the experts, early detection of breast cancer through regular screenings and mammograms is crucial for successful treatment and recovery. Mammography, especially with advanced techniques, plays a vital role in identifying breast cancer at a curable stage, often before it can potentially become invasive. In cases where further investigation is needed, a breast biopsy offers a definitive diagnosis. 

These expert insights highlight the importance of regular breast cancer screenings. In addition to professional screenings, it is equally important to perform regular self-exams. Self-exams can help you become familiar with your own breasts and notice any changes, such as lumps, pain, or changes in size and shape, early on. Early detection through self-exams can be a crucial first step in identifying potential issues before they become more serious.

By combining self-exams with regular mammography screenings and consultations with healthcare professionals, you can take proactive steps towards your health and well-being  . Empower yourself with knowledge, stay vigilant about changes in your body, and ensure regular medical check-ups to enhance your chances of early detection and successful treatment of breast cancer. Your proactive approach can make a significant difference in your overall health and recovery outcomes.

Breast screening is possible and recommended also when you have breast implants. Visit our blog for more information. 
To continue learning and supporting breast cancer awareness, make sure to read our other blog posts and follow our social media efforts throughout October.

Sources: 

1. https://www.who.int/news-room/fact-sheets/detail/breast-cancer 
2. https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html