• Debunking Common Myths About Breast Cancer
Authored by Dr Manjula Rao

Debunking Common Myths About Breast Cancer

Breast cancer is the commonest cancer affecting women worldwide. It comes in various types, such as ‘invasive ductal carcinoma (IDC)’, which is the most common, and ‘invasive lobular carcinoma (ILC)’, amongst others, and each of these may have unique biology depending on the expression of hormone and protein receptors, at the molecular level.

Despite the vast amount of information available online and despite numerous awareness campaigns, many myths, and misconceptions persist. The misinformation may cause unnecessary fear, preventing people from seeking timely medical advice.

Let us debunk some of the most common myths about breast cancer and help you understand this disease better!

Myth 1: Only Women Can Get Breast Cancer

Fact: While breast cancer is much more common in women, men can also develop breast cancer. Male breast cancer accounts for about 1% of all breast cancer cases. Men should be mindful of any sudden changes in their breasts and consult a doctor if they notice lumps, nipple discharge, nipple retraction, skin changes, or other symptoms. Understanding the early signs of breast cancer is crucial for everyone, regardless of gender.

Myth 2: Every Lump in the Breast is Cancer

Fact: Not all breast lumps are cancerous. Most breast lumps may in fact be attributed to benign (non-cancerous) conditions such as cysts or fibroadenomas, especially in younger women. However, it is essential to get it checked by a doctor to determine whether it is cancerous or benign. Remember, Breast cancer may occur in younger women as well, especially in the Indian subcontinent! Recognizing breast cancer symptoms can guide appropriate action.

Myth 3: Breast Cancer Always Presents as a Lump

Fact: Although a lump is a very common symptom of breast cancer, it is not always the case. It may also present as skin changes, like dimpling, thickening, redness, orange-peel appearance, nipple discharge etc. Some women may not have any noticeable symptoms at all, which is why annual breast cancer screening and monthly self breast examination is crucial for detection.

Myth 4: If You Have No Family History of Breast Cancer, You Are Not at Risk

Fact: A family history of breast cancer may increase your risk of developing the disease, but most people diagnosed with breast cancer have no family history. Risk factors of breast cancer include age, overexposure to estrogen hormone, genetic mutations, and lifestyle choices, amongst others. Knowledge regarding breast cancer, and being mindful of your breast health, lifestyle choices and its impact on your risk, and cancer screening is crucial, regardless of family history.

Myth 5: Wearing Underwire Bras Increases the Risk of Breast Cancer

Fact: There is no scientific evidence to support the claim that wearing underwire bras increases the risk of breast cancer. This myth may have originated from the idea that underwire bras restrict lymphatic flow, but research has not found any link between the type or colour of bra worn by a woman and breast cancer risk.

Myth 6: Antiperspirants and Deodorants Cause Breast Cancer

Fact: No conclusive evidence links the use of antiperspirants and deodorants to breast cancer. Concerns have been raised about certain chemicals in these products, but scientific studies have not confirmed any direct association with breast cancer development. Staying informed about breast cancer facts helps in understanding what truly affects your breast health.

Myth 7: Breast Cancer treatment Always Requires a Mastectomy or Whole Breast Removal

Fact: The treatment for breast cancer depends on the type of cancer, its nature or biology, the stage of presentation, and individual patient factors. While some cases may require a mastectomy (surgical removal of the breast), many women are treated with ‘Breast-conserving surgery’ (with Oncoplasty to ensure it looks similar to the opposite breast). It is important to note that even in advanced disease stages (Stage 4), treatment plans are tailored to the individual’s needs.

Myth 8: Breast Implants Increase the Risk of Breast Cancer

Fact: Breast implants do not increase the risk of breast cancer. However, they can make it more difficult to detect cancer on a mammogram, so additional imaging tests may be needed for women with implants. It’s crucial to discuss these factors with your healthcare provider when considering breast implants.

Myth 9: Young Women Don’t Get Breast Cancer

Fact: While breast cancer is more common in older women, young women do also get breast cancer. Studies have shown that Indian women stand a higher risk of developing the disease at an age which is a decade lower than the documented average in the West. Therefore, monthly self breast examination, and an annual breast health check with your surgeon is essential.

Myth 10: Breast Cancer Is Always Fatal

Fact: Thanks to advances in early detection, surgical techniques, newer drugs in the market, specific targetted medicines and advanced radiation technology, many women diagnosed with breast cancer may be cured, and they go on to live long with a superb quality of life. When detected at an early stage (such that disease is restricted to the breast), the survival rates are as high as 99%, as documented by the American Cancer Society.

Understanding the facts about breast cancer and spreading this awareness amongst your friends and family is crucial to mitigate fear, for early detection, and to get effective and timely treatment. By debunking these common myths, we hope to provide you with the right information to help you make informed decisions about your breast health. Remember, breast cancer can be cured when caught early, and it is important to stay informed and be aware, get regular check-ups, and to take proactive steps in improving your health and general lifestyle. Spread the word!