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    5 First Steps To Take After An Early-Breast-Cancer Diagnosis

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    Receiving an early-breast-cancer diagnosis can feel like a shock to your system, prompting a wave of emotions that can range from fear to sadness, and everything in between. While you’re trying to get your wits about you, know that what to do next is at the ready for you. Here we lay out steps to take toward survivorship. Early breast cancer is when the cancer has not spread past the breast and the axillary lymph nodes. It is also considered ductal carcinoma in situ (when cells lining the milk ducts become cancerous) and stage 1 (small local tumour) through 3a cancer (cancer in nearby lymph nodes). 1. Take A Breath And Centre Yourself“It takes time to process the information when you hear you have breast cancer,” says registered nurse Susan Brown, the senior director of health information and publications at the Susan G. Komen Foundation; a breast cancer organisation in the US. “You may have to hear the diagnosis more than once. You may want to ask the doctor to name and write down what they have found so far. You also may have to learn a new vocabulary, so take a breath.”READ MORE: 11 Symptoms Of Breast Cancer In Women That Aren’t LumpsBe gentle with yourself, and remember that an early-breast-cancer diagnosis is not a death sentence. “The five-year survival rate for stage 1 breast cancer is 100 percent,” says Dr. Shari Goldfarb, an oncologist at Memorial Sloan Kettering Cancer Centre. “The earlier you diagnose and treat, the better your outcome, and most women with stage 1 breast cancer are going to be cured of their cancer.”2. Educate Yourself With Reputable SourcesBoth experts we spoke to agreed that knowledge is power – just be careful where you’re getting it. For example, the first thing many women do is research breast cancer on the internet, but there’s a right and a wrong way to do that. “Don’t just go to Dr. Google, because there is a lot of misinformation out there,” Brown says. “Take time to gather reliable information.” One good rule of thumb is to look for reputable sources with .org or .gov at the end of the site’s web address, as these sources are usually most up-to-date, Dr. Goldfarb says.3. Keep A Journal Or Notebook For Your Thoughts And QuestionsEven before your first visit with an oncologist or a breast-cancer surgeon, consider writing down questions, such as:What type of cancer do I have?

    What stage is it in?

    What is my prognosis?

    What does treatment entail?

    What does it mean for my life?Keep the journal going between doctor’s visits, especially if you begin experiencing side effects from medications and other forms of treatment. “We can often relieve many of these symptoms, so the sooner you tell your doctor what you’re experiencing, the better,” Dr. Goldfarb says. Hot flashes, diarrhoea, constipation and nausea are all common side effects of cancer treatment and documenting your symptoms can help motivate you to reach out to your doctor if you’re experiencing any of them. “For example, if you get a mouth sore two days after chemotherapy, we can prescribe something to relieve it before you come back for your next visit, so you don’t have to suffer through it for another two weeks,” she says. “Don’t let things fester.”READ MORE: 8 Breast Cancer Myths You NEED To Stop Believing

    WH Breast Cancer Awareness Guide

    Download our 34-page Breast Cancer Awareness Guide, complete with a breast bump guide, ways to lower your risk and real women’s survival stories. Together we can make a difference!

    4. Establish A Support System“There used to be a stigma with cancer, but not anymore,” Dr. Goldfarb says. “There is nothing you did to get it. You were simply unlucky and you’re going to need good support going through this.” Take some time to consider who will be your support system, whether that includes your partner, other family members, friends or colleagues – or all of the above.Too many women forgo telling their boss and coworkers of their diagnosis, but Dr. Goldfarb says it’s important to share the news with them, too, because you may find yourself calling in sick more or simply not feeling well at work. ”If people understand what is going on, they are more helpful and supportive,” she says.“There is nothing you did to get it. You were simply unlucky, and you’re going to need good support going through this.” —Dr. GoldfarbAnd even if your squad consists of just one or two people, having an advocate who can help you gather information and draft questions can take some of the load off you. “Perhaps they can attend appointments with you as a second set of ears, to take notes or ask questions that you may forget to ask,” Brown says.READ MORE: “I Conquered Ovarian Cancer And Breast Cancer At The Same Time.”Where To Find Support GroupsBuilding a support system also can include connecting with others who have been through a similar experience. “This can be through a support group that’s online or in person,” Brown says. “These groups share information and encourage members to advocate for themselves.”CANSA, for example has several different CANSA Support Groups; from WhatsApp groups, zoom, face-to-face and Facebook groups where patients, friends and family can find support and friendship and share information. You can find a full list of the groups as well as how to join here.Just remember to ask your doctor about anything you read or hear that concerns you, rather than take another person’s advice as fact. Brown likens this to announcing you’re pregnant, then hearing nothing but horrible labour and delivery stories. “If someone gives you something to think about, clear it up with your doctor right away so you don’t worry unnecessarily,” Brown says. “Another person may not even have the same type of cancer as you, or maybe they had it years ago, but since treatment is always changing, what they say may have no bearing on you.”READ MORE: What To Know About Breast Cancer As A Young Woman5. Consider Getting A Second OpinionAn early-breast-cancer diagnosis is a physical and emotional diagnosis, and you must feel comfortable with the care you’re getting, says Dr. Goldfarb. Even if the diagnosis and treatment plans end up aligning, many patients find a second opinion goes a long way toward helping them make peace with their diagnosis. “The first person you meet is not always the right fit,” Dr. Goldfarb says. “This is an important, serious diagnosis, but it’s also important to feel like you’re getting good care. If it’s not a fit with the first person, a second opinion can give you peace of mind.” Brown adds that asking for another expert’s opinion may not be necessary if you have a common type of breast cancer, but occasionally a person may have an unusual type of breast cancer, something that a pathologist doesn’t see very often. Even if the diagnosis and treatment plans end up aligning, many patients find a second opinion goes a long way toward helping them make peace with their diagnosis.Whatever the reason – even if it’s just that you’ll feel better if another doctor looks at your test results – the doctor or hospital where your biopsy was done can help you find another source. “Sometimes even within the same facility, you might find a different doctor,” Dr. Goldfarb says. “I see fewer patients as an oncologist, but I see them much more frequently, which is why it’s so important to find someone you connect with, keeping in mind that this is going to be a long-term relationship.”She suggests looking for someone who approaches breast cancer holistically: “A lot of emotions are involved. Even though early-stage breast cancer is likely to be cured, for you, it’s a traumatic experience.”READ MORE: My Experience With Breast Cancer, At Age 27Lastly…It’s impossible to control an early breast-cancer diagnosis and everything that comes with it, so try focusing on the things you can control. “Reading about it and talking about it are important,” Dr. Goldfarb says – because they will help remind you that most women diagnosed with early-stage breast cancer become survivors. “This is why regular mammograms and self-exams are important – they lead to earlier diagnoses.”The key, she says, is to stay positive and surround yourself with positive people. “It’s hard and it hits you at different points, but I am always amazed at how optimistic people can be even in difficult situations,” says Dr. Goldfarb. “It will help you get through the journey.”This article by Ana Pelayo Connery was originally published by Women’s Health US More

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      What To Know About Breast Cancer As A Young Woman

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      Once, breast cancer affected mostly women over the age of 50. But now, the Big C is affecting women in lower age groups. New data from South African research shows that breast cancer among young women is on the rise, reflecting global trends. According to the Cancer Association of South Africa (CANSA), breast cancer is the most common cancer among women in South Africa, accounting for 23% of all cancers. Here’s what to know to protect yourself.Breast cancer and young women: the numbersIn the U.S., a recent study found that breast cancer is the leading cause of cancer death among women aged 20 to 49 years. Now, we know that this data correlates with what’s happening in SA. A 2024 study looked at radiology records among patients younger than 40 in Johannesburg over a five-year period. They found that among the test results, 73% of them were positive breast cancer diagnoses. And the average age for women being diagnosed under 40? Just 34 years old.It can be more aggressivePlus, with breast cancer in young women, the Breast Imaging Society of South Africa (BISSA), a sub-speciality group of the Radiological Society of South Africa, warns that young women are more likely to develop breast cancers with aggressive biological characteristics. These cancers often present with larger tumours and more advanced stages of the disease at diagnosis, making early detection vital for improving outcomes. According to the Breast Cancer Research Foundation (BCRF), young women with breast cancer are more likely to have triple-negative breast cancer – which has fewer treatment options (but slowly improving) – as well as a recurrence at five or 10 years after therapy.Why are younger women being affected?The BCRF notes that inherited genetic mutations like BRCA1 or BRCA2 are more commonly seen among women, which contributes to the rise of BC.Other risk factors include:Having family member(s) with:breast cancer before age 50 or breast cancer in both breasts or breast cancer as a man

      ovarian, pancreatic or metastatic prostate cancer

      triple-negative breast cancer (TNBC)

      Having had your first period before you turned 12

      Being pregnant over the age of 30, or not giving birthREAD MORE: My Experience With Breast Cancer, At Age 27Do regular screeningsDr Peter Schoub, Chair of BISSA, emphasises the importance of early detection through regular self-examinations starting in your 20s, and annual mammograms from age 40. “Awareness and education about breast cancer in young women can lead to earlier diagnoses and less invasive treatment options,” says Dr Schoub. “The growing number of younger women being diagnosed with breast cancer highlights the need to expand awareness campaigns and improve screening programs, especially for those at higher risk.” And if you have medical aid, make use of your free mammogram offers. “Although most major medical schemes offer complimentary mammogram screenings for women over 40, only about 20% of women take advantage of this service,” says Dr Schoub. “We must also be mindful that breast cancer is increasingly being detected in women in their 30s, who experience more aggressive forms of the disease that can spread rapidly if not detected early.”Dr Schoub says that while breast cancer risk increases with age, the disease does not discriminate: women of all ages, races and socio-economic backgrounds can be affected.“This is why routine self-examinations and clinical breast checks by a healthcare professional at least once a year are essential,” he explains. “Any abnormality, regardless of age or family history, should be evaluated by a medical professional immediately.”He says the goal of breast cancer screening is to detect the disease before symptoms emerge. “Cancers found through routine screening are often smaller and localised, increasing the chances of successful treatment and survival. The size of the tumour and whether the cancer has spread are key factors in determining the prognosis.”

      WH Breast Cancer Awareness Guide

      Dive in and let this digi mag arm you and yours with powerful information so we can move towards a world where breast cancer becomes that much easier to tackle. Let us work hand in hand to spread awareness, support those in need, and contribute to the ongoing fight against breast cancer. With early detection and an army of knowledgeable women, this is possible!

      How to protect yourself from breast cancer as a young womanOther ways you can protect yourself involve lifestyle shifts.Stay in shapePrevious research notes that obesity or being overweight increases the risk of breast and other cancers.Ditch the vicesTough to hear, but necessary: excessive alcohol consumption (no more than one drink a day, says Prevent Cancer Organisation) ups your risk. Also, a lack of physical activity, smoking and diets high in saturated fats contribute to risk.Go easy on meatStudies show that higher intakes of red meat, animal fats and processed meats correlate to higher rates of breast (and other) cancers. Your move: swap them out for beans, lentils, nuts and veg.Load up on vegThe five-a-day really help: they’re higher in fibre, with is associated with lower breast cancer rates. Veg and fruits are also high in antioxidants, which protect against inflammation.Get some sunSouth Africans have alarmingly high rates of vitamin D deficiency. Black South Africans are the most affected, with almost 63% living with a lack of vitamin D. But vitamin D could also play a role in cancer, per CANSA. “Research suggests that women with low levels of vitamin D have a higher risk of breast cancer. Vitamin D may play a role in controlling normal breast cell growth and may be able to stop breast cancer cells from growing,” they note.READ MORE: 11 Symptoms Of Breast Cancer In Women That Aren’t LumpsHow to self-examine your breasts“The breast changes throughout the menstrual cycle and it is important to always self-examine at the same time of the month, usually a week after your period when your breasts are less tender due to fluctuations in hormone levels,” explains BISSA. Here’s how to check ‘em.Do a visual examSit or stand, without clothing, in front of a mirror with your arms to your side and look for changes in size, shape, symmetry, puckering and dimpling.Then, do a physical examinationLie down so that your breast tissue spreads out making it easier to feel, or in the shower, using soap to glide more easily over your breasts:

      Use the pads of your three middle fingers, not your fingertips, to examine.

      Apply different pressure levels – light to feel the breast tissue closest to the skin, medium to feel deeper, and firm to feel the tissue closest to the chest and ribs.

      Use a methodical technique such as beginning near the collarbone, then moving towards the nipples, in a clockwork fashion.

      Allow enough time and don’t rush the examination.Signs to look out forIt’s important to note that many lumps may turn out to be harmless, but it is essential that all of them are checked.  Visit your doc if you notice any of these changes:Swelling of all or part of the breast,

      Skin irritation, dimpling or ridges on the skin,

      Nipple pain or the nipple turning inward,

      Redness, scaliness or thickening of the nipple or breast skin,

      A nipple discharges other than breast milk, or

      A lump or knot near the underarm area.Michelle is the features editor at WH. She’s immensely curious about the world, passionate about health and wellness and enjoys a good surf when the waves are good. More

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      Mammograms Are Essential – So Why Are So Many Women Skipping Them?

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      According to the Cancer Association of South Africa (CANSA), it’s far better to have an early-stage diagnosis, as it results in better breast cancer treatment and long-term survival. The only way to get an early diagnosis? Checking your breasts regularly at home, and making sure you attend your scheduled mammograms. But there are so many mammogram myths that scores of women are opting out of this practice. An informal survey amongst women who are hesitant to go even though they have the means to go shows that the top reasons include thinking it’s painful, having fear of radiation and being afraid of that Big C diagnosis.

      Plus, skipping just one screening can increase a woman’s risk of dying from breast cancer, per a study of half a million Swedish women.

      Since mammograms are essential, we’ve broken through a few of the myths and addressed them, courtesy of the radiologists at SCP Radiologist Practice and Dr Lizanne Langenhoven, who specialises in the treatment of breast cancer. Here’s what you really need to know about mammograms.

      Myth #1: Mammograms are too painful

      Many women still rely on their mother’s experience with early mammograms which were painful. Mammography machines have progressed exponentially since the early days, so the level of discomfort experienced during the procedure is now significantly reduced. Modern technology and digital equipment allow us to use less compression and still obtain quality imaging. Also, the amount of pressure is different for each individual, depending on the breast size and composition. Pressure is often manually adjusted so speak to your mammographer if you experience any discomfort.

      READ MORE: Getting A Mammogram: What To Know, Even If You’re Young

      Myth #2: Mammograms mean exposure to cancer-causing radiation

      A mammogram uses relatively low-dose radiation. The total dose is approximately 0.5 mSv (2D mammogram). To put that into perspective, we are exposed to 3.0 mSv of background radiation from our natural surroundings per year. Radiologists also strictly follow what’s known as the ALARA principle – to always apply radiation “as low as reasonably achievable”. Clearly, the benefits of this screening tool vastly outweigh the actual low-dose radiation.

      Myth #3: You don’t need a mammogram if you go for thermography

      At present, thermography cannot substitute mammography but may be used as complementary screening. Dr Langenhoven cautions that thermography is not all it is cut out to be. In order for the cancer to give off heat signals, it has to be significant in size. Mammography on the other hand can detect changes in the breast before they progress to cancer. A mammogram therefore picks up the disease course much sooner than thermography.

      READ MORE: 8 Breast Cancer Myths You NEED To Stop Believing

      Myth #4: Ultrasounds are safer

      “Mammography is our workhorse.  We look for masses, calcifications, and architectural distortion,” says Dr Langenhoven. “Ultrasound is a supplementary investigation used to further evaluate morphology, blood flow, consistency of masses, and lymph nodes that are abnormal on a mammogram.” Tomosynthesis, a type of X-ray, is also supplementary, used to further evaluate architectural distortion seen on a mammogram. They all work together. With denser breasts mammography is less sensitive, which is when we add the supplementary investigations to improve the sensitivity of detection.

      Myth #5: I can’t have a mammogram I have breast implants

      Yes, you can, is the short answer. If you have breast implants the compression and positioning are adjusted. The amount of pressure is equivalent to sleeping on your stomach. Modern technology means there is a very low risk of implant rupture or damage. It is usually combined with ultrasound for better evaluation of the implants.

      READ MORE: 11 Symptoms Of Breast Cancer In Women That Aren’t Lumps

      Myth #6: If am diagnosed with breast cancer I am going to die anyway. So I would rather not find out

      Perhaps the biggest and most harmful myth of all. The truth is that we’re in a period of time where 90% of women with early breast cancer can be cured of their disease, says Dr Langenhoven. “In the same way we don’t drive cars from the ’50s, our treatment is no longer ancient either!” she remarks.

      “The good news is that our understanding of the different subtypes of breast cancer has improved significantly over the past few years! We no longer follow a one-type-fits-all approach and many women may even safely be spared chemotherapy in a curative setting,” she says.  

      “As with everything else in life, it is easier to address a ‘small’ or ‘early’ problem than it is to address a much larger problem! I’ve seen breast cancer diagnosed at a size of 2mm on a mammogram – meaning that treatment is tailored to a very low-risk situation. In short, the earlier we become aware of an existing problem, the sooner it can be addressed and with much less invasive treatment.”

      Added to that, the side-effect profiles of our new drugs improve the quality of life during treatment. And the fact that we now identify and treat four distinct subtypes of breast cancer means that we can target the specific growth pattern at play and avoid unnecessary treatment. In short, modern medicine means your chances of dying of breast cancer are reduced. But screenings are still the champion in our fight against breast cancer.

      Different screenings for breast cancer

      “When you consider that around 90% of women find their own breast lumps, it is a very important part of the screening process,” says Dr Langenhoven. “Although 80 percent of these lumps are not malignant, there are cases where women owe their lives to their own self-examination.”

      Mammogram

      A mammogram involves breast imaging using low-dose X-rays to form a 2D image. The advantage? It often reveals abnormalities undetected in a clinical breast examination. Four images are taken, two of each breast. The breast is lightly compressed for less than 1 minute during the examination to improve diagnostic accuracy.

      Tomosynthesis

      This is a form of 3D mammography and uses X-rays as well as sophisticated software to create a 3D image of the breast. It is considered better at detecting cancer and reducing false positives in dense breast tissue.  It is invaluable in problem-solving and is used in combination with 2D mammography.

      Breast ultrasound

      Ultrasound is a supplementary investigation used to further evaluate morphology, blood flow, and consistency of masses and lymph nodes that are abnormal mammography.  It uses no radiation but rather real-time imaging, using sound waves to create an image. It’s a slightly longer process and is also valuable in problem-solving. It is used in combination with a mammogram not in place of it.

      MRI

      The digital MR image uses strong magnetic fields and radio waves but no radiation. You will receive an intravenous injection and then lie on your stomach, in an MRI ‘tunnel’ for around 45 minutes.  An MRI for breast screening is usually used for problem-solving, high-risk screening and for women who have breast implants.

      Biopsy

      Your doctor might recommend a breast biopsy when a suspicious area is found in your breast, like a breast lump or other signs and symptoms of breast cancer. It is also used to investigate unusual findings on a mammogram, ultrasound, or other breast examination.

      Thermography

      Thermography is a test that uses an infrared camera to detect heat patterns and blood flow in body tissues. Digital infrared thermal imaging (DTI) is the type of thermography that can be used to show these patterns and flow in the breasts. More

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      “I Conquered Ovarian Cancer And Breast Cancer At The Same Time.”

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      “You can decide to let your cancer diagnosis get the better of you or you can choose to fight. There was no other option for me but to fight,” says Robyn Frick, Teamhead Commercial Marketing for PUMA. And fight she did, when in January 2023 Robyn was diagnosed with both breast cancer and ovarian cancer. This is how she went into combat with “The Big C” and came out a champion.

      Being Diagnosed With Breast Cancer And Ovarian Cancer At The Same Time

      “With any diagnosis, hearing that you have cancer comes as quite a shock. This diagnosis would be my second, and little did I know it would be a double whammy,” recalls Robyn. During a 2023 routine check-up, doctors discovered the ovarian cancer she’d been diagnosed with in 2013 had come back. And while undergoing tests, they discovered Robyn also had breast cancer. She had two large lumps in her right breast which had not been visible during a mammogram 6 months prior.

      What’s The Treatment For Fighting Two Separate Cancers?

      “Fighting two different cancers at the same time is somewhat unique,” explains Robyn. “They both require different treatment plans that ideally coincide so one cancer isn’t left to its own devices but that in itself is tricky.”

      Usually, doctors have to make a decision; which cancer they will treat first. In an ideal (albeit rare) circumstance, if the two cancers share characteristics they could respond to the same targeted drug or chemotherapy plan. 

      READ MORE: 11 Symptoms Of Breast Cancer In Women That Aren’t Lumps

      How Common Is It?

      According to WebMD, researchers estimate around 1 in 20 people with cancer have another separate cancer at the same time. “At the same time” is defined as two tumours that occur within less than 6 months of each other.

      Robyn’s Treatment Plan For Fighting Breast Cancer And Ovarian Cancer

      After consulting with a panel of oncologists and surgeons, Robyn’s oncologist came up with the best treatment plan possible. They would tackle her ovarian cancer first – the chemotherapy would treat the breast cancer at the same time – then her breast cancer.

      Her oncology treatment plan included:

      Chemotherapy: 6 cycles of chemo (carboplatin and paclitaxel) which was administered every three weeks and took 6 hours per session.

      Mastectomy: The chemotherapy was followed by a bilateral mastectomy (and immediate reconstruction which she elected for)

      Radiation: Then 5 weeks of radiation with 5 sessions per week.

      A PARP Inhibitor: Before Robyn started with chemo, she consulted with a Geneticist. This was to determine if she carries one of the BRCA gene mutations, which she does – BRCA-1. This opened up the opportunity for her to take a PARP Inhibitor (a type of targeted cancer drug) for post-treatment support. She will take this for the next two years.

      “Alongside my oncology treatment plan, I have a holistic treatment plan which will continue for years to come,” she says.

      Her holistic treatment plan includes:

      Supplements: She takes supplements targeted at her specific cancer

      A special diet: This diet excludes wheat, gluten, sugar and dairy

      Rife Therapy sessions: Rife machines produce low electromagnetic energy waves similar to radio waves

      Vitamin C drips: IV drips quickly increase the levels of ascorbic acid (or Vitamin C) in your blood.

      Exercise

      Spirituality: Robyn is tapping into her spiritual side

      The Biggest Out-Of-Pocket Expense

      With Robyn’s particular cancer, she qualified for a drug called Lynparza – a PARP Inhibitor. In her first consultation with her oncologist, she mentioned this drug would become part of Robyn’s post-chemo treatment plan if she was able to upgrade her medical aid to one of the top plans.

      If not, she would be facing a monthly cost of roughly R90,000 for the next two years.

      “Thankfully I was fortunate enough to be able to do the upgrade, and that monthly cost when compared to the price of the drug is nominal,” she says. 

      READ MORE: My Experience With Breast Cancer, At Age 27

      Inspirational Words For Anyone Who Has Received A Cancer Diagnosis

      “You can decide to let your cancer diagnosis get the better of you or you can choose to fight. There was no other option for me but to fight. Was it hard? Absolutely! Having to deal with a second cancer diagnosis and questioning why it happened to me in the first place, would treatment work this time around, how severe was my cancer diagnosis, had it spread through my whole body? Constant doctor’s visits, undergoing tests, treatments, it becomes exhausting. Losing my hair, losing my breasts, those are two things that define who you are as a woman, right?”

      “But if you choose to fight, you know your hair will grow back, you know that you will have the option for reconstruction (should you choose to do so), and you know that life is about so much more than those things.”

      “Focusing on one day at a time, being present in the moment, the support and love from my family, friends, colleagues, my medical team, even a whole lot of strangers, has definitely made my journey and the bigger picture that little bit easier.”

      You Are More Than Your Diagnosis: 

      “I don’t want my cancer diagnosis to define who I am. While it has forever changed my life and I am grateful to have survived it, I view it as a small part of my journey here on this earth and so many other amazing things have happened in my life which need to be celebrated,” says Robyn.

      Advice For Those Currently Experiencing Breast Cancer

      Take It Step By Step

      “It may sound like a cliché but take one moment at a time – one minute, one hour, one day. This is a journey not a race, so be kind to yourself. You will feel like you again.”

      Rely On Your Circle

      Robyn suggests surrounding yourself with the people who make you laugh, smile and who see you for who you are. On the hard days, let them carry the weight for you. And on the good days, invite them to celebrate with you.

      Do Your Own Research

      Robyn says you should investigate alternative therapies which can live alongside your treatment plan. But she emphasises that you make sure it is done with someone who specialises in cancers. “I have my wing chick and honestly could not have done this without her by my side – I am beyond grateful for her, her knowledge and her passion to find a way to cure cancer,” she says.

      READ MORE: 8 Breast Cancer Myths You NEED To Stop Believing

      Advice Everyone Should Heed About Breast Cancer

      If someone in your immediate family has breast cancer and tests positive for the BRCA 1 or 2 gene mutation, it is recommended that you get tested as well, Robyn emphasises. According to her, you would rather be equipped with that knowledge and take the necessary preventative measures should you test positive.

      “Had I done the gene test after my first diagnosis, I would probably have had a bilateral mastectomy and prevented my current breast cancer diagnosis,” she reflects.

      She highlights that you should really get to know the ins and outs of your body and trust your gut if you think something is amiss.

      How Fighting Breast Cancer And Ovarian Cancer Has Changed Robyn’s Life:

      “Well, first of all, I have a new set of perky boobs and a flat tummy,” she says. Robyn chose DIEP Flap surgery as reconstruction is done immediately and would eliminate the number of operations she would need to undergo had she selected implants. “My plastic surgeon was also very pro this surgery,” she says.

      Thankfully, she was a good candidate for a DIEP Flap which is a type of reconstruction that uses your own tissue to create a new breast after a mastectomy. They used Robyn’s abdominal tissue to create new breasts, which took around 9 hours as it is such an intricate surgery.

      The New Normal:

      You look at those around you who don’t have cancer and just want to feel ‘normal’ again, as you perceive them to be. But you soon realise this is your new normal and that life can’t go back to how it was before – you were given a warning, take heed of it and develop the skills to reduce stress, practice mindfulness, change your diet, set boundaries and so on. It does take daily practice though.”

      “I have only recently completed treatment, so I am still adjusting to what life looks like outside of daily treatments and doctor’s visits, but one thing it has definitely done is made me slow down and focus on today. Being diagnosed with cancer opens your eyes to what is important in life – prioritising time spent with family and friends, taking the time to listen to the sound of the waves crashing, the wind blowing through the trees, the sunsets and the moon rising – life is about the simple things we so easily take for granted,” she says. More

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      8 Breast Cancer Myths You NEED To Stop Believing

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      Ah, October… The time of year when almost every tree is swathed in pink and the term “breast cancer” is in your timeline more often than a Kardashian. And while awareness is incredibly important – regular check-ups and a healthy lifestyle are key to combating cancer – a flurry of information also creates room for confusion.

      In the world of science, it can take years of research and studies on large numbers of people to get a clear picture of what can and can’t increase or decrease your risk. That’s why you need to be extra careful where you get your information from. Here, we bust eight common myths and uncover the truth.

      Myth#1: Younger women are becoming more and more susceptible.

      Truth: The older you get, the more at risk you are for any cancer – not the other way round, says Dr Melissa Wallace, head of research at the Cancer Association of South Africa (CANSA). “The majority of breast cancer patients in South Africa and abroad have typically been and still are women between the ages of 50 and 70 years,” says Dr Justus Apffelstaedt, a specialist surgeon with a particular interest in breast, thyroid and parathyroid health management. So why older women? It’s not entirely clear, but research has shown that it may be a result of the accumulation of age-associated changes in a biochemical process that helps control genes.

      Myth#2: Chemotherapy is the MVP of breast cancer treatments.

      Truth: “The most effective way to treat breast cancer is with a multi-disciplinary approach, combining a number of treatment options that include surgery, radiation, chemotherapy and hormonal and biological agents,” says Apffelstaedt. The right treatment for you will depend on the type and stage of cancer and how far it has spread. “Treatment can consist of surgery, radiotherapy, chemotherapy, hormone therapy or biological or targeted therapies, which are new drugs that work differently to chemotherapy. A patient may have one of these treatments or a combination,” says Wallace.

      Myth#3: If you’re a smoker, you’re automatically at risk for breast cancer.

      Truth: Hate to break it to ya, but if you’re smoking, you’re at risk for around says Wallace. But that’s not the end of the story. “Many women will not necessarily increase the risk of getting breast cancer by smoking, but there is a subset of women with a specific genetic make-up that prevents them from detoxifying cancer-causing chemicals in cigarette smoke efficiently,” says Apffelstaedt. Those women do indeed have an increased risk of breast cancer when smoking. Places like 3×4 Clinics and DNAlysis can help you find out if you’re among them– but quitting is still a better option.

      READ MORE: 11 Symptoms Of Breast Cancer In Women That Aren’t Lumps

      Myth#4: Mammograms are painful.

      Truth: It shouldn’t be painful, but a little discomfort is normal. Plus, knowing the state of your boobies should for sure outweigh any temporary unease.

      Myth#5: Mammograms are not a big deal in breast cancer treatment.

      Truth: Not all mammograms are created equal. When it comes to screening for BC, you want the best tech available, including an image produced by a mammogram specialist radiographer.

      “High-quality breast imaging will detect about 95 percent of all breast cancers. In such centres, women whose breast cancer is detected at screening will have the same survival chances as women without breast cancer,” says Apffelstaedt.

      Myth#6: It doesn’t make a difference where you’re treated.

      Truth: “There can be a variation across facilities and provinces in terms of waiting periods for diagnosis and then waiting periods for accessing treatment,” says Wallace. The longer the waiting period, the worse the prognosis, since early treatment and detection are key. “In certain parts of the country, patients are experiencing unacceptable waiting periods to access treatment. CANSA is working hard to do what we can to address this at a national level,” she says. If you’re among those waiting, contact CANSA on advocacy@cansa.org.za.

      READ MORE: My Experience With Breast Cancer, At Age 27

      Myth #7: It’s best to remove the whole breast when you have breast cancer.

      Truth: A tumour in the breast will not kill you. What will? The spread of cancer to the brain and lungs, says Apffelstaedt, Wallace agrees. “Whether or not the breast will be removed is entirely dependent on the type of breast cancer, the stage and how far it’s spread.” Plus, says Apffelstaedt, breast cancer often spreads to other areas early in the course of the disease, so a mastectomy won’t guarantee a better survival rate than breast-conserving therapy.

      Myth #8: You’re more likely to get breast cancer after a breast augmentation.

      Truth: “It may be hard for the doctor to see certain parts of your breast,” says Wallace. “The X-rays used in mammograms cannot go through silicone or saline implants well enough to show the breast tissue under them. This means that part of the breast tissue can be hard to see on a mammogram.” But studies show that women who undergo breast augmentation surgery and have breast implants are no more likely to develop breast cancer than women who don’t, says Apffelstaedt. More

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      in health and weelbeing

      My Experience With Breast Cancer, At Age 27

      by

      Model Amber Denae Wright tells about her experience with breast cancer, having been diagnosed at the age of 27.

      Discovering a lump

      In March of 2020, literally two weeks before we went into hard lockdown, I got out of the shower one evening and I felt this really large lump on the right side of my breast. I hadn’t noticed it before. I was shocked by how big it was. It was on the right-hand side and thankfully close to the surface.

      As a teenager, I had been diagnosed with fibroadenomas, which are non-cancerous lumps that are quite common in young women. When I felt the lump, I thought that’s what it was. I had been told that they can grow and change. Sometimes, they need to be removed. But knowing that I didn’t want foreign things in my body, I immediately phoned my gynae and booked an appointment.

      That appointment got cancelled because we then went into a hard lockdown. Throughout that time, I had this thing constantly bothering me. I was very aware of it the whole time. It was causing a lot of pain. It was right where your bra wire catches. I fully believed that it was a fibroadenoma. I never even for one second imagined the big C word.

      The diagnosis

      When I was referred to a breast surgeon, he examined me and said that the way it felt and moved felt just like a fibroadenoma. He however recommended not going in for the surgery immediately, given the risks of contracting COVID in the hospital. I took that recommendation and another two months went by. Eventually, it caused me a lot of pain. I was struggling to sleep at night and struggling to complete workouts with my sports bra catching it. I eventually elected to do the surgery in August, five months after finding the lump.

      They removed the lump and sent it away for testing. A week later, I went back for a follow-up appointment. Everything felt very normal but then he called me into his office and started by asking me when I had found this lump. He said I’d shocked them all because, as it turned out, the lump was cancerous.

      I’ll never forget that moment for as long as I live. They were words I never ever, even for one second, imagined hearing, having breast cancer at age 27. The doctor immediately started to go through my treatment plan, the type of diagnosis it was, and the rest. I felt like I was watching this whole scene play out like I was outside of my body because it was too much. And then he started to talk about all of the treatments and he said the words ‘chemotherapy’. Once he said those words I was like, ‘This is actually real’. And I immediately just started to cry. I was completely overwhelmed.

      The treatment

      From that point on I was catapulted into 1001 different appointments, from scans to blood tests. I went straight from there for an ultrasound and the next day, I met with my oncologist.

      Given that my husband Nick and I don’t have kids yet, our first port of call was to preserve my fertility (which can be affected by chemotherapy). We did fertility treatment and froze embryos. This involved hormone injections, regular scans at a fertility facility and the harvesting of my eggs. It was the craziest few weeks of my life. Once the embryos were frozen, it was time to start chemotherapy. 

      My chemotherapy treatment was 16 rounds, over five months. Two weeks after my first chemo session, my hair started to fall out. It was one of my biggest fears. Every day I’d wake up, there was more hair on my pillow and more hair on my floor and every coat that I wore. It was all over me and it became very overwhelming.

      Eventually, it got to the point where my husband had to help me shave it off. It was a moment I never pictured going through in my life.

      Amber in treatment

      My life with breast cancer

      Initially, I was determined to keep up with everything I had been doing: working full-time, doing workouts and staying healthy. I had started doing Raise the Barre, an online barre class, during the lockdown. Before I’d gone in for surgery I was literally feeling my strongest, fittest, healthiest self. One of the toughest things was watching that slowly slip away as I got weaker and wasn’t able to train as much.

      During chemotherapy, for the first couple of weeks, when I still had energy, I was trying to train as much as I could. But chemo weakens you over time. I had debilitating headaches and couldn’t take too many painkillers because my organs were already under so much strain from the chemo. At about two or three o’clock, on some days, I would just crash and I literally felt like I couldn’t keep my head up. Because of all this, I decided to leave my job and focus on fighting the cancer.

      I also sought out therapy to help me maintain a positive mental state throughout. That helped me a lot because there are a lot of dark, hard thoughts that you don’t want to burden other people with.

      Amber ringing the bell after the last chemo treatment

      My surgery

      After chemo was done it was time for surgery. Because I didn’t test positive for any of the cancer gene mutations, I elected for a lumpectomy, where the lump and surrounding tissue were removed. When they operated on me the first time to remove the lump, they were operating as if it wasn’t cancer, so they didn’t do what they would normally do, which is cut around it and take all the tissue and the tumour out.

      They ended up taking out a lot of tissue and had to reduce the left breast to match the right. It ended up being a massive surgery. I also underwent 5 weeks of daily radiation and I am currently on 5 years of hormone treatment (Tamoxifen and Zolodex).

      Finding remission

      In October 2021, after all my active treatment was completed, I had an MRI which was all clear and confirmed that I was in remission. During my cancer journey, I felt like I was in survival mode, trying to get through every single day, and so when all of my treatment was done, I had a lot of emotions to work through and mental healing to do.

      Although my life looks very different now and although I will need to go for regular check-ups and scans for the rest of my life, and although I have needed to make changes and sacrifices to my lifestyle, there has been so much good that has come from this difficult journey. It made me a better person and helped me to become more confident in who I am and it made me realise how much I have to be grateful for.  

      I have been given a fresh start and I now know that I can do and be whatever I want to be because I proved to myself and everyone around me how strong I am. I am so grateful for my life and the people I have been blessed with  

      I’ve really tried to embrace this new version of myself and navigate all that comes with the cancer aftermath. My life is different, but it’s beautiful and I’m so blessed to be here.

      Amber now, cancer-free More

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      in lifestyle and culture

      How Estée Lauder co-created the pink ribbon to raise breast cancer awareness

      by

      Lifestyle

      by Sarah Joseph
      26 mins ago

      Estelle Letang, General Manager of the Middle East Region at The Estée Lauder Companies on how they are pioneering the visibility of breast cancer prevention.
      What do the first 30 minutes of your day look like, your morning routine?
      My morning routine usually starts with some form of exercise and Pilates is my favourite as it sets me up for the day. Working for a beauty company, I always take five minutes as ‘me time’ by applying me favourite beauty products including Take The Day Off Cleansing Balm from Clinique, then hydrating my skin with the Estèe Lauder Advanced Night Repair Serum, proceeding with La Mer’s iconic Crème De La Mer to moisturise my skin, then using a lipstick from M.A.C and finally spritzing my favourite fragrance from Tom Ford, Rose Prick. As a mother of three, I’ve always had breakfast with my children before they head to school.
      Can you tell us about the latest Estée Lauder Breast Cancer Campaign?
      This year marks the 30th anniversary of the Estée Lauder Companies’ Breast Cancer Campaign and the Company’s commitment to the global breast cancer movement. Through the collective efforts of employees, consumers, and partners worldwide, the campaign has facilitated real progress and driven social impact. In the Middle East, we have focused on raising much-needed awareness and education about breast cancer in the regional community by highlighting the stories of four inspirational women who survived breast cancer through a series of empowering videos and events. These survivors share their personal journeys with breast cancer, their journey of recovery and how they went to fulfill their dreams after they beat the disease. All of the survivors share the critical importance of self-examination and early detection which was a key factor in their recovery.
      The late Evelyn H. Lauder launched the iconic Pink Ribbon, as part of The Breast Cancer Campaign, how did it all begin?
      Thirty years ago, in 1992, Evelyn H. Lauder (Estée Laud- er’s daughter-in-law) co-created the globally recognised Pink Ribbon and launched The Estée Lauder Companies Breast Cancer Campaign, inspiring a global movement around its mission to help create a breast cancer-free world once for all. Since then, the Breast Cancer Campaign is The Estée Lauder Companies’ largest corporate philanthropic initiative. Just one year later, in 1993, Evelyn Lauder founded the Breast Cancer Research Foundation, the campaign’s lead- ing non-profit organisation partner dedicated to advancing the world’s most promising research to eradicate breast cancer. The Company have funded more than $108 million globally for lifesaving research, education, and medical services. The campaign is a true testament to the group’s legacy as a beauty-inspired, values-driven company that places people, positive impact, and inclusivity at the heart of everything we do.
      “The campaign is a true testament to the group’s legacy as a beauty-inspired, values-driven company that places people, positive impact, and inclusivity at the heart of everything we do.”
      This month brings awareness to breast cancer – what are the key things we should be looking for?
      Globally, breast cancer causes the greatest number of cancer-related deaths among women. Every 15 seconds somewhere in the world, a woman is diagnosed with breast cancer. This is far too many. A breast cancer diagnosis profoundly affects everyone it touches – patients, loved ones, doctors, caregivers, advocates and more. Our goal as a company is to generate widespread awareness and education across the Middle East region on breast cancer highlighting the importance of self-testing, early detection, and prevention.

      What are some of the key initiatives Estée Lauder has taken to help people going through this journey?
      The Estée Lauder Companies in the Middle East have worked very closely with NGO Brest Friends, the first breast cancer support group in Dubai, and Al Jalila Foundation for the last seven years, whose combined mission is similar to ours: To save lives by promoting early detection, increasing awareness, education, and offering support to patients with breast cancer.
      This is The Pioneer Issue – what inspired the group to take the lead in raising awareness?
      It has been 30 years since Evelyn H. Lauder, a visionary woman, inspired a global movement and introduced a symbol of hope and inspiration with one mission, to help create a breast-cancer-free world. At a time when breast cancer wasn’t spoken about openly, Evelyn H. Lauder saw an opportunity to unite people everywhere and make a difference. She said,“I’d like to be able to save lives.” Now, as we honour The Campaign’s 30th Anniversary, breast cancer patients are leading better, healthier lives due in part to early detection and improved treatment which the campaign and our partners are dedicated to advancing. The campaign is a cornerstone of who we are at The Estée Lauder Companies and serves as a true, authentic point of difference that drives our social impact and enhances our corporate reputation with a key call to action, It’s #TimeToEndBreast- Cancer. Together, we are united to help end breast cancer for all.
      October’s – The Pioneer Issue – Download Now
      – For more on luxury lifestyle, news, fashion and beauty follow Emirates Woman on Facebook and Instagram
      Images: Supplied  More

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      in lifestyle and culture

      Here’s where you can get free breast cancer screenings in the UAE in 2022

      by

      Lifestyle

      by Sarah Joseph
      29 seconds ago

      Early detection of breast cancer can save lives and ensure a 93 per cent or higher survival rate in the first five years, per the USA’s National Breast Cancer Foundation.
      To mark breast cancer awareness this month, the UAE’s Pink Caravan mobile clinics along with its Minivan Clinic which is offering initiatives for women to get tested in both Abu Dhabi, Dubai and Sharjah.
      Organised by Sharjah-based Friends of Cancer Patients (FOCP) and its partners, free screenings are being offered to women in order to help with the early detection of breast cancer.

      Here’s where you can go for a complimentary breast cancer screening session during the month of October:

      University of Sharjah – October 4, 9am to 3pm
      Emirates Identity Authority – October 5, 9am to 3pm
      Sharjah Ladies Club – October 7, 4pm to 10pm
      Mirdif City Centre, October 8, 4pm to 10pm
      Yas Mall, October 8, Abu Dhabi, 4pm to 10pm
      La Mer, October 15, 4pm to 10pm
      Dubai Frame, October 16, 4pm to 10pm
      Mamzar Park, October 16, 4pm to 10pm
      Umm Al Emarat Park, Abu Dhabi, October 18, 4pm to 10pm
      University of Sharjah, October 19, 9am to 3pm
      Raw Coffee in Dubai, October 23, 10am to 4pm
      Al Majaz Waterfront, October 27, 4pm to 10pm
      Museum of the Future, October 28, 4pm to 10pm
      Mega Mall in Sharjah, October 29, 4pm to 10pm
      Dubai Digital Park, October 30, 4pm to 19pm

      With free checkups across multiple locations, women across the UAE can prioritise their health this month and beyond.
      – For more on luxury lifestyle, news, fashion and beauty follow Emirates Woman on Facebook and Instagram
      Images & Feature Image: Unsplash @anna tarazevich More