Self-Checking For Breast Cancer Symptoms 'Could Do More Harm Than Good'

Self-Checking For Breast Cancer Symptoms 'Could Do More Harm Than Good'
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Encouraging women to regularly check their breasts for signs of breast cancer could be doing more harm than good, a health expert has warned.

Writing for the British Medical Journal Dr Margaret McCartney says that self-examination does not reduce the number of deaths from breast cancer "and actually increases the chances of a benign biopsy result".

She added: "It is unfair to tell women that regular self-examination will save their lives when it may simply incur anxiety and have the potential to harm.”

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Dr McCartney's warning came shortly after The Sun launched its 'Check 'em Tuesday' campaign in association with breast cancer charity CoppaFeel!.

The campaign is a weekly reminder for women to check their breasts. Readers are asked to send in photos to prove compliance and can even sign up for a text message reminder.

Although the partnership between Coppafeel! and The Sun has been criticised before, Dr McCartney is the first to question its medical integrity - until now critics have focused on the objectification of women's bodies through Page 3.

Dr McCartney says: “We have the paper saying it’s ‘The Sun versus breast cancer’. They say they are going to save lives, when they have no right to make that claim."

Most breast cancer charities and health organisations, recommend monthly self-checking and highlight five key symptoms. The NHS highlights eight possible symptoms.

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11 Little Known Breast Cancer Facts
Breast cancer is actually many different types of cancer(01 of10)
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Breast cancer, in its simplest definition, is cancer that starts in the cells of the breast. But what we call "breast cancer" actually includes several different types of cancer, all of which require different treatments and have different prognoses. (credit:Shutterstock)
A lump doesn't always (or even usually) mean cancer(02 of10)
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Most breast lumps indicate something other than breast cancer—some possible causes for breast lumps include cysts, fibrosis, or benign tumours. And some women are just prone to lumpy breasts, which is stressful but harmless. That said, if you find a lump, get it checked out — know that the odds are good that it's nothing serious, but see your doctor about it for your own peace of mind. (credit:Susan G. Komen)
Breast cancer isn't always a lump(03 of10)
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It's helpful to know that breast cancer can appear in forms other than a lump, which means there are other physical signs you should watch for. Other symptoms that you should get checked out include thickening of the skin in the breast or underarm area; swelling, warmth, redness, or darkening of the breasts; a change in your breast size or shape; dimpling or puckering of the breast skin; an itchy, scaly sore or rash on the nipple; a pulling in of your nipple or another part of your breast; sudden nipple discharge; or pain in one spot of the breast that doesn't go away. (credit:Shutterstock)
Breast cancer risk isn't always determined by family history(04 of10)
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A family history of breast cancer (on either your mother or father's side) can be an indication that your personal odds of developing it are higher than average, but they don't guarantee that you will. As well, the majority of women who develop breast cancer have no identifiable risk factors, including family history. And the BRCA1 and BRCA2 gene mutations are hereditary, but only account for five to 10 per cent of all breast cancers. (credit:Shutterstock)
BRCA1 or BRCA2 don't always mean cancer is in your future(05 of10)
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The news that Angelina Jolie had had a preventative double mastectomy after testing positive for the BRCA1 gene mutation made many women wonder if they had the same mutation--and what it would mean for them if they did. If you do have the BRCA1 or BRCA2 gene mutation, your lifetime risk of developing breast cancer or ovarian cancer is significantly elevated, and women with the mutations who do get cancer tend to develop it at younger ages; one estimate states that 55 to 65 per cent of the women with the BRCA1 mutation and 45 per cent of those with the BRCA2 mutation will develop breast cancer by age 70, versus 12 per cent in the general population. But it does not mean that cancer is definitely in your future, and every person has to make her own individual decision, based on a variety of factors, about how to best mitigate her risk of disease. (credit:Shutterstock)
Not all women have a one-in-eight risk for breast cancer(06 of10)
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This often-cited statistic is somewhat misleading. Breast cancer risk varies based on a variety of factors, including age, weight, and ethnic background. Risk increases as you get older (http://www.cdc.gov/cancer/breast/statistics/age.htm): most breast-cancer cases are in women in their 50s and 60s. Also, some ethnic groups appear to be more susceptible to breast cancer; the National Cancer Institute in the U.S. says that white, non-Hispanic women have the highest overall risk of developing breast cancer, while women of Korean descent have the lowest risk, but African-American women have a higher death rate. Finally, being overweight or obese may also up your risk; there is evidence that being obese or overweight after menopause can up your breast-cancer risk, possibly because fat tissue is a source of estrogen. (credit:Shutterstock)
There are ways to lower your risk(07 of10)
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You can't prevent breast cancer, per se, but there are ways to lower your personal risk. If you are overweight or obese, you could try to lose weight in a healthful way; if you are already in a healthy weight range, try to stay there. Exercise regularly, as as little as 75 to 150 minutes of walking a week has been shown to have a lowering effect on risk. Limit your alcohol consumption — research found that women who have two or more alcoholic drinks each day have an elevated risk of breast cancer. And avoid hormone therapy during menopause, as a combo of estrogen and progestin has been shown to raise breast-cancer risk. (credit:Shutterstock)
Mammograms aren't foolproof(08 of10)
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Mammograms are a powerful way to detect breast cancer early on, but they aren't 100 per cent. Mammograms are most effective in women aged 50 and over; they detect about 83 per cent of women who have breast cancer in that age group. For younger women, the sensitivity is 78 per cent. However, that does mean some cancers are missed and that there are false-positive results as well, which could require a biopsy to confirm. Talk to your doctor about when you should start getting mammograms regularly, or if you have symptoms that suggest that you should get one. (credit:Shutterstock)
Fertility treatments don't raise your breast-cancer risk(09 of10)
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Some wondered if Giuliana Rancic's fertility treatments were behind her diagnosis of breast cancer in her late 30s, but experts interviewed by WebMD said that there is no strong evidence connecting the disease with the use of fertility drugs. It's true that hormonal treatments can raise the risk for post-menopausal women, but women undergoing fertility treatments are almost never in that age range, and also take the medications for a much shorter period of time. (credit:Getty Images)
Most women survive breast cancer(10 of10)
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Cancer is scary, but in most cases, women who are diagnosed with breast cancer survive and lead healthy lives. According to the Breast Cancer Society of Canada, the five-year survival rate is 80 per cent for men and 88 per cent for women. That's up from 79 per cent for women in 1986. (credit:Shutterstock)

Dr McCartney was keen to stress that people should not ignore lumps, but that people are no more likely to find them through self-checking.

“If you get a lump you should definitely get it checked,” she said. “What I can’t say is that checking yourself regularly is a particularly good way of going about saving lives.”

Dr McCartney argues that public health messages "should be based on evidence" and that their effects "need to be proved to affect behaviour in a way that is helpful and not harmful."

She says: "If we fail to critically evaluate campaigns on cancer, we create the appearance of doing something useful while potentially distracting from what might really help. In doing so we potentially harm the very women we're purporting to help."

Founder of Coppafeel! Kris Hallenga, who has incurable secondary breast cancer, told HuffPost UK Lifestyle: "If we save just one life it will be worth it."

The Coppafeel! collaboration with The Sun has already prompted many women to seek help, she reveals.

"Thousands more people today are logging onto our website to find out how to check their boobs; we have been contacted by several women who have booked appointments with their GPs as a result of something they have found."

Kris Hallenga, Founder of CoppaFeel, said: "Breast cancer awareness among our target audience of young women is shockingly low. The only way that breast cancer is likely to be detected in these young women is if they check themselves regularly and know the signs and symptoms.

"This helps women to feel much more confident if they notice something and puts them in a better position to have a conversation with their GP if something arises.

"Currently many breast cancers are diagnosed late, due to late detection. We need to do all we can to ensure women of all ages know when to go to their GP, and know what is normal for them.

"Doctors across the country have been overwhelmingly supportive of our Check 'Em Tuesday campaign with The Sun. Breast awareness is recommended by the Department of Health and all major breast cancer charities in the UK."

To find out more about Coppafeel! and familiarise yourself with breast cancer symptoms, visit their website.