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When was the last time you checked your breasts?
 

When was the last time you checked your breasts?

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Breast cancer is the most commonly occurring cancer among women in Singapore. 1,850 women are diagnosed with breast cancer each year, and over 400 do not survive from the disease. Despite this, the chances of surviving breast cancer increases with early detection. Over the years, mortality from breast cancer has decreased; attributed largely to ongoing research, and approved therapeutic strategies now in practice.
 
today.mims.com
 
29 Jul 2016 - General
 
@ Chih Chiang Nieh. You rightly pointed out that the conventional thought is, forget about BSE since early breast cancer are not palpable. By the time they are palpable, they are likely more than 1cm or later stage. Hence, forget about BSE and just follow mammogram for those more than 39 year old. Some guideline (i.e Canadian) even discourage from performing physician clinical breast examination! However the US guideline is really strange. It discourages the discouragement of breast self examina...
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I personally feel the advantage of BSE and early detection outweighs all issues you mentioned against recommending BSE. Although it may lead to increased doctor visits and unnecessary tests performed, it could also lead to early detection allowing for better health outcomes for breast cancer patients. Nobody will know the changes in a womans' breasts better than herself. Recommending BSEs is simply encouraging women to get familiar with the shape of their breasts and know when there are chan...
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There are already studies which showed that self-breast examinations does not improve the morbidity and mortality in patients. Hence, the guideline is that breast examinations are not advocated and advised for patients. The best practice is still to go ahead with annual mammogram from the age 40-65 and if patients have a family history of breast cancer, screen with ultrasound breast at a younger age - as we all know that the breasts are denser in a younger women particularly below 30 and for thi...
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Do you recommend breast self examination to your patient? This is a controversial topic is it not? Advantages to performing a BSE, such as allowing women to gain a sense of control over their health and to become comfortable with their own breasts. Additionally, it is a simple, noninvasive procedure that can be performed by nonmedically trained individuals. Disadvantages of BSE include increased number of healthcare visits and twice the number of benign biopsy results, leading to increased healt...
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