Questions & Answers

There are many myths concerning breast cancer. What are the facts regarding the following commonly held misconceptions?

1. A painful lump in the breast is often the first sign of breast cancer.

Rarely is a painful breast lump the first sign of breast cancer. Painful lumps in the breast are generally related to benign conditions. Breast cysts, which are fluid-filled lumps, are very common, especially in women over 35. These cysts often fluctuate in size with the menstrual cycle and may be quite tender. Still, any lump, painful or not, should be evaluated.

2. Mammograms cause cancer.

There is some controversial evidence regarding the possible cancer-causing effects of radiation on breast tissue. Most experts would, however, agree that the benefits of mammography outweigh this extremely low potential risk.

3. A woman has little or no risk of breast cancer if there is no family history of breast cancer.

Most breast cancers are so-called sporadic cancers, and occur in women with no family history of breast cancer.

4. Women with large breasts have a greater risk of breast cancer.

Studies have shown that overweight women, particularly those with excessive amounts of fat around their waists, have a higher risk of developing breast cancer. Most studies agree that while breast size itself is not a major risk factor, breast density may be important.

The new vaccine for cervical cancer is exciting news for women.

1. When will Gardasil™ be available and what are you recommending to your patients?

Gardasil™ is available now, but not as of yet through any vaccination programs. Practitioners may order the vaccination from Merck. The vaccine is sold only to licensed medical providers. I am advising patients 26 and under that getting the vaccine now is reasonable, although cost may be an issue. I do not at this time recommend the vaccine for women over 26.

2. Will women still need to get Pap smears once they have received the vaccine?

Vaccination against HPV is not intended to replace regular Pap smear screening. I advise patients that the long-term effectiveness of the vaccine is not yet known, and for now, Pap smear screening should be continued. Young girls who are vaccinated should begin screening according to published recommendations.