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Breast Cancer survivor - early detection

Domini's Story

It’s a strange thing, searching carefully for something you really don’t want to find. When you’re actually afraid of what you might find, there’s a powerful temptation not to look at all.

I used to check my breasts every day, when I was putting on moisturiser after a shower. If you’d asked, I’d have told you I wanted to become so familiar with them that I’d be sure to notice the smallest change – being breast aware is, of course, a recommended strategy. In fact it meant I could almost convince myself that I really was just putting on moisturiser – not checking for breast lumps at all.

Despite the affected casualness, I still found one. But, when I did, it was so different from the thing I’d been dreading that, for a little while, I thought I might just be safe. For some reason I’d always imagined I was feeling for a little, round, pea-like lump. Instead, I found a long, narrow, rough-edged ridge just under my right nipple. Surely breast cancer didn’t feel like that?

For the rest of the day. I couldn’t keep my hand away. Despite the odd looks I was attracting on the train, I just had to know whether that ridge was still there. It was. And when it was still there the following morning, I made an appointment to see my GP.

We had a bit of a joke as I was undressing. She’d examined me herself just a couple of weeks earlier when I went for my routine pap smear, so I was feeling a bit neurotic - a bit of a hypochondriac, even. But I was bringing up four children on my own – the oldest 16, the youngest nine – so we agreed I was allowed to be.

Then I watched her face as she examined me, and suddenly being there didn’t seem that funny any more.

My doctor had had breast cancer herself and was just about as careful and thorough as it was possible to be. She just couldn’t believe she’d missed a lump this size. But I knew she’d missed it for exactly the same reason that I had. Until the previous day, its shape and position meant it simply couldn’t be distinguished from normal, irregular breast tissue.

Most lumps are not so difficult to find. But breast cancer isn’t always as predictable as we’d like.

No single method of detection is 100% effective. Some women with breast cancer will find they have a tiny abnormality when they go for a routine mammogram. Some will find one by touch. Others will notice a that one of her nipples looks a bit different, or that there’s something not quite right about the skin on one of her breasts.

Yet, when it comes to surviving breast cancer, early detection remains our most powerful ally. That’s why it’s vital that every woman knows all about everything she can do, all about everything she might find, and how crucial it is to talk to her doctor about any change she may discover.

Technically, my breast cancer was not detected early. That lumpy ridge was 7cm long and 7 of the lymph nodes under my arm were already affected. In my case I needed more agressive treatment than most women. But, thanks to that treatment, I’m a breast cancer survivor, perfectly healthy almost five years on.

If I hadn’t been aware of the change to my breast and if I hadn’t reported that change, I’d almost certainly not be alive today – and no message can be more important than that.

Domini is the author of two books:

You can get through this - how to stay positive when you're coping with breast cancer

How to become a happy eater

For more information go to www.doministuart.com

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