Awareness and early detection are crucial in the fight against breast cancer. In conversation with Dr. Dana Haddad, Breast Interventional Radiologist at American Hospital Al Barsha Clinic, Dubai, we learn about the importance of self-exams and the need to consult a healthcare provider for regular check-ups.
How often should women get mammograms?
One in eight women will develop breast cancer over their lifetime. Every woman over 40 years and above at average risk for developing breast cancer should have a mammogram annually. Think of it as a yearly check-up for your breast health. Regular screenings can catch issues early when they are most treatable, so you can stay ahead of any potential problems.
If you're at higher risk, like having a family history of breast cancer, you might need to start earlier—your doctor can guide you on this. It’s crucial to understand that 75% of women who develop breast cancer have no family history or known risk factors, so every woman should be screened.
Mammograms shouldn’t be painful when done properly. Women don’t need to fear them—in fact, a mammogram is an empowering step in taking charge of your health. It’s a way of showing you care about yourself and your well-being, giving you the confidence that you’re doing all you can to stay healthy.
What are the early signs and symptoms of breast cancer that women should be aware of?
Be your own advocate and know your body. Early signs can include a lump in your breast or underarm, changes in the shape or size of your breast, nipple scaling, itching, or discharge (especially if it’s clear or blood stained), or even persistent pain in a specific area of your breast. Some women notice skin changes like dimpling, redness, or swelling. The key is to recognise anything that is a change or feels out of the ordinary for you—no one knows your body better.
Do lifestyle changes impact your risk of breast cancer? If yes, how can we reduce it?
It’s important to know that if a woman develops breast cancer, it is not their fault. The biggest risk factors for developing breast cancer is being female, and getting older, which affects all women. However, there are a few factors in your control that can lower your risk:
- Maintain a healthy weight (especially after menopause)
- Exercise regularly
- Limit alcohol intake
- Eat a balanced diet rich in fruits and vegetables
- If possible, breastfeed your children
Limiting menopausal hormonal use has previously been thought to increase risk for breast cancer, but more recent studies are debunking this.
These small but powerful lifestyle changes can have a significant impact on reducing your risk and improving your overall health.
What is the role of genetics in breast cancer?
Genetics can play a big role, but only 5-10% of breast cancer cases are linked to inherited gene mutations like BRCA1 and BRCA2. If breast cancer runs in your family, it’s worth having a conversation with your doctor about genetic testing. But remember, most women diagnosed with breast cancer don’t have a family history of the disease, so screenings are vital for everyone.
What support services are available in the region for breast cancer patients and their families?
The good news is there’s a growing network of support services in the region. Hospitals often offer patient navigators, who guide you through your treatment journey. There are also support groups where patients and families can connect with others going through similar experiences. Two of my favourites are Breast Friends and Al Jalila Cancer Foundation. Additionally, many organisations run awareness campaigns and provide counselling to help patients cope emotionally, mentally, and even financially. You’re never alone in this journey—help is always nearby.
How can one conduct a self-examination effectively?
Self-exams are simple and can be done in the shower, in front of a mirror, or lying down. Here’s a quick guide:
- Look at your breasts in the mirror with your arms on your hips, and then raise—check for any changes in shape, size, or skin.
- With your arm raised behind your head, Feel your breasts using the flats of your fingers, pressing gently but firmly in small, circular motions, from the chest wall towards the nipple. Cover the whole breast area—from your collarbone down to your ribs and from the side of your breast to the middle of your chest. Don’t forget to check the underarm area as well; relax your arm by your side to get a thorough feel deep into the armpit.
When conducting a self-examination, what should women make note of?
It’s important to note any new or unusual changes such as:
- Lumps, hard knots or thickened tissue
- Dimpling or puckering of the skin
- Changes in nipple appearance (like inversion or discharge)
- Redness or rash on the breast If you spot anything suspicious, don’t panic—just book an appointment with your doctor for a check-up.
What other symptoms are women likely to notice during an examination that might not be cancerous?
If you do feel something, do not panic. Most changes in the breast are not cancerous. Many women feel benign lumps, like cysts or fibroadenomas. You might also experience breast tenderness due to hormonal fluctuations or fibrocystic breast changes, which are common and not concerning. If in doubt, always consult your healthcare provider to ease your mind.
Do you think there is still a stigma surrounding breast cancer? How can we contribute to breaking this?
Yes, there’s still some stigma, but things are changing, thanks to awareness campaigns and open conversations. Breast cancer is a shared experience—it doesn’t discriminate. By talking openly, sharing stories, and supporting each other, we can break down the barriers of shame and fear. Whether it’s through advocacy, education, or simply encouraging the women in your life to get screened, each small step helps reduce stigma and normalise breast health discussions.
Awareness and action go hand in hand. It is all about self love and self care. By staying informed and proactive, we can all play a role in the fight against breast cancer.
