The Breast Imaging Society of South Africa (Bissa) warns that fear, myths, and misinformation surrounding breast cancer diagnosis and treatment continue to contribute to delays in detecting the disease. While breast cancer affects one in 28 South African women, health professionals emphasise the importance of early detection, regular screening, and improved access to healthcare.

Breast cancer is also the second leading cause of cancer-related deaths among women. The organisation said addressing misconceptions about painless lumps, mammograms, and treatment options could help more women seek timely medical care and improve their chances of survival.

Breast cancer is also the second leading cause of cancer-related deaths among women. Photo: Cansa

Women are encouraged to undergo annual screening mammograms and seek medical attention for new or persistent breast or armpit lumps, nipple changes, unusual discharge, skin dimpling, or unexplained breast swelling.

“Many individuals mistakenly believe that if a breast lump does not hurt, it cannot be serious or cancerous,” said Bissa member Dr Carine Kabanga. “However, early cancerous lumps are frequently painless, and the absence of discomfort does not mean a lump is harmless.

“Fear of a potential cancer diagnosis and the emotional weight of facing treatment often lead people to avoid seeking medical attention or fall into denial.

“Many also assume that a lump is simply a harmless cyst, hormonal change, or injury-related tissue change. A major challenge is that a lot of people are unaware of the normal signs and symptoms of early breast cancer, making early detection difficult.

Myths and facts surrounding breast cancer. Photo: westerncape.gov.za

“While many breast lumps are benign, such as harmless cysts or fibroadenomas, a cancerous lump can continue to grow and spread to nearby lymph nodes or other parts of the body if left untreated.

“The longer you wait for a doctor to evaluate a breast lump, the more difficult treatment and management can become. Early-stage breast cancer is highly treatable and often requires less invasive therapy.”

Warning signs to look out for:

• a new lump or thickened tissue in the breast or underarm;
• nipple inversion or flattening;
• skin colour changes or darker patches;
• changes in breast size, shape, or contour;
• dimpling or orange peel texture on the skin;
• scaling or flaking of the nipple or breast skin; and
• an unexplained nipple discharge, especially if bloody.

OFM News/Zenande Mpame cvs

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