The head of the central coordination unit for the early detection of breast cancer program in Jeddah and the consultant of diagnostic radiology, Dr. Iman Hashem Baroum, stressed the need for women who have reached the age of 40 and over to perform mammograms for breast cancer every one or two years over the life course, indicated by "Okaz" in the women''s section said that psychological and nervous stress have major effects on the immune system, thus increasing the chances of breast cancer occurring.

She pointed out that the national campaign for breast cancer awareness launched by Jeddah Health, represented by King Abdulaziz Hospital, Oncology Center and King Fahd General Hospital under the slogan «Together Against Breast Cancer», will continue for a period of three months, and that the mammogram tanker will operate according to an itinerary distributed in three health centers. Covering areas of Jeddah.

The following is (Part Two) from the questions of “Okaz” readers and the answers of Dr. Iman Baroum:

• I have complained of a benign tumor in the breast six years ago and it was removed. However, I now suffer from pain in the breasts, especially with regard to the operation, knowing that I am not more than 32 years old.

(Joseph - Jeddah)

Sometimes, as a result of the formation of fibrous tissue at the place of the excision, the woman feels pain from time to time in that area, and it is not a cause for concern, and simple painkillers can be used after consulting a doctor, and television X-rays may be required according to the result of the clinical examination.

Nipple discharge

• I am 23 years old, and I complain of transparent nipple secretions that come out automatically on one side. I did the mammogram and television photography, and I did not get a definitive response about the cause of the secretions. What do you think, doctor?

(Sarah - Taif)

Continuous secretions from the breasts that always come out from a specific point need a doctor''s consultation and a television X-ray, and surgery may be required, but if they are secreted infrequently, it is sufficient to follow up if it is proven by TV that there is no tissue inside the milk ducts.

Mammogram

• Do mammograms show the size of the tumor even if it is the size of the lens, noting that I am 45 years old?

(Layla - Jeddah)

Yes, mammograms are accurate and show very small tumors, but there is a rate of 20% of the wrong negative diagnosis, and this is due to several reasons, including: Excessive breast density due to the presence of glandular tissue more than fat, and this occurs in young children, and in women Thin and women who use the replacement hormone, or if the mammogram device used is not on a high degree of efficiency, and it is preferable to do the mammogram over digital devices.

Fear and obsession

Do you fear and obsessive about cancer lead to the occurrence of cancer?

(Iman Muhammad - Medina)

Stress has a great impact on the immune system, thus increasing the chances of breast cancer occurring, so it is necessary to overcome psychological and nervous pressure through regular sports and meditation, and to avoid anxiety and obsessive behavior, so that only what God has written for us will not affect us.

Tanker dates

• You are over the sixth decade, I am wondering about the dates for early detection of breast cancer that takes place on the roaming tanker in the Jeddah region?

(Mahasin Kurdi - Jeddah)

The caravan route was determined next to three health centers, which is the Al-Hamra Health Center, and it started from last Saturday for a month, and next to the Al-Safa Health Center, starting from the 16th of Dhu Al-Hijjah next for a month, and next to the Al-Mahjar Health Center starting on the sixth of Muharram next and for a period A month, during which a mammogram is performed through the conveyor for Saudi women from 40 to 69 years of age from various regions of Jeddah Governorate, with the exception of pregnant and lactating women or those suffering from a breast abscess or who previously or currently had breast cancer.

Fibroids

• I suffer from a tumor in the thyroid gland, breast pain and a tumor in the armpit. I had a mammogram and a television imaging, and the result was benign fibroids, knowing that I am 45 years old?

(Fatima Jamaan - Taif)

There is no clear relationship between thyroid disease and breast cancer, and with regard to solid tumors in the breast from the age of 40, a sample must be taken from it and it is not accepted that it is benign from its characteristics on a mammogram or television imaging, as five percent of malignant tumors have the same Appearances

Polyps.

Breast lump

• My wife, who is 29 years old, has complained of a lump in her breast nine months ago and it started to get bigger in size. What do you think?

(Khaled Abdel Qader)

Breast lumps are multiple and cannot be diagnosed in this way, and the best advice is to see a doctor for the necessary tests and x-rays.

Symptoms of the disease

• I am 20 years old, please advise me about the symptoms of breast cancer?

(Congratulations - Jeddah)

The most prominent symptoms of breast cancer are a lump in the breast, changes or shrinkage in the skin of the breast, changes or shrinkage in the nipple, secretions in the breast (other than milk or during breastfeeding), especially blood, changes in the shape of the breast, especially in its thickness or color, and swelling In the armpit.