The Solution:
1. Research has shown that a regular Breast Self-Examination (BSE), plays an important role in discovering breast cancer early, and compared to finding a breast lump by chance. So put it in your diary ladies – do a BSE once a month, preferably at the same time of day, following your menstrual cycle. Watch our BSE video and stick to this monthly regime…
2. While a regular BSE is extremely helpful, it is important to go for a more thorough investigation once a year. A Clinical Breast Examination (CBE) is a visual and manual examination of the entire breast, from the collarbone to the bra line, and from the armpit to the breast bone by a professional nurse or medical practitioner. CANSA offers Clinical Breast Examinations (CBE) at CANSA Care Centres to detect any irregularities and patients with medical aid benefits can claim from their medical aids once they have paid for the screening. Women are entitled to an annual clinical breast examination when visiting primary health care centres (according to the National Department of Health’s Breast Cancer Control Policy)
3. If any abnormality is detected during a CBE, you may be referred for a mammogram (a special x-ray to detect lumps in the breast). Women from the age of 40 should go for an annual mammogram, for purposes of non-symptomatic breast screening, just in case a CBE does not detect BC. Women 55 years and older, should have a mammogram every two years – or if they choose, continue with an annual mammogram.
4. Some people’s genetic family history, means they may have gene mutations that make them more likely to develop breast cancer. The most common gene mutations are found in the BRCA1 and BRCA2 genes that normally produce proteins that protect one from cancer. BRCA1 (BReast CAncer gene 1) and BRCA2 (BReast CAncer gene 2) are genes that produce proteins that help repair damaged DNA. Women with one of the defects have more of a chance of getting breast cancer, so should be referred for an annual mammogram. See CANSA Breast Cancer Position Statement .
Where to get a Mammogram?
Women can be screened at public hospital breast imaging units. Or alternately, the Radiological Society of SA (RSSA) website, can be accessed to see which practices offer breast imaging services and contacted for a booking. A doctor’s referral letter is not usually required for screening services. Any issues regarding bookings with a private practice, please contact admin@rssa.co.za for assistance.