Why we need Breast Self-Exam (BSE)?
Breasts are very sensitive to natural hormones as well as to any hormones we use during
our life (hormones in birth control pills, hormone replacement therapy, hormones used for
thyroid diseases, hormones in morning after pills, etc.). In addition breasts are one of main
sexual organs which could be often traumatized. And breasts are hard working organs
during pregnancy and breast-feeding. Breasts are working also hard during
hyperprolactinemia.
It is important to know that regular breast self-exam can help you know how your breasts
normally feel and look, so you can notice any changes. Most breast changes or lumps are
can be discovered very early and many of them are not cancerous, but only a health care
provider can tell you for sure. If breast cancer is found early, you can have more treatment
choices and a better chance of recovery. So, it is very important to find breast cancer at early
stages - as early as possible.
At this time it is recommended that hormone therapy for breast cancer treatment should not be started until after the woman has given birth.
Summary:
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All women should be encouraged to practice breast self-examination in pregnancy and during lactation.
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There is good evidence that the risk for premenopausal breast cancer is reduced with lactation. This protective effect seems to be best for women who had extended periods of breastfeeding during their lifetime. Women with familial risks could potentially benefit most from breastfeeding. Since breast milk is the ideal nutrient for the newborn, and since breastfeeding is a modifiable risk factor, all women should be encouraged to breastfeed their children.
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Once breast cancer is diagnosed, a multidisciplinary approach should be taken. This includes the obstetrician, surgeons, medical and radiation oncologists, and breast cancer counsellors.
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In early pregnancy, the patient should be counseled regarding the effect of proposed therapy on the fetus and on overall maternal prognosis. Termination of pregnancy should be discussed, but the patient should be counseled that prognosis is not altered by termination of pregnancy. Women should be advised that premature menopause may result from breast cancer treatments, especially if chemotherapy is given to patients who are past the age of 30.
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Prior to attempting pregnancy, a breast cancer survivor should be referred for a full oncologic evaluation.
