Teaching breast self-exams isn’t advised anymore because it hasn’t been shown to prevent breast cancer deaths.
Scientists and physicians recognize this still leaves a worrisome void for those cases that occur before the age of 40. Overall, the incidence of breast cancer in women younger than 40 is low — about
in 2019. By comparison, there were about 229 cases per 100,000 women in the 40-to-64-year-old age group and 462 per 100,000 in women 65 to 74.How to best identify and screen younger people at higher risk is a major source of discussion and ongoing research.We don’t yet have all those answers, but experts tend to agree that familiarizing yourself with your breasts and recognizing important changes is still critical — even if teaching regular breast self-exams is no longer recommended.
It's also important to ask your family members about their medical history, especially if first-degree relatives have breast or ovarian cancer, as this can increase your own risk.among young people, and you may know of people in your own life who have been diagnosed early. It’s important to understand that guidelines are made through a systematic process based on the risks and benefits on a population-wide level.
Trisha Pasricha is a physician at Massachusetts General Hospital, an instructor in medicine at Harvard Medical School
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