Debunking Common Myths About Breast Cancer: An In-Depth Look at Misconceptions

March 30, 2024

Many people have heard of breast cancer, but most only have a superficial understanding and believe that breast removal is necessary for treatment. However, this is not the case. The treatment plan for breast cancer varies depending on the type. In addition, there are many misconceptions about breast cancer that people are not aware of. Let's take a closer look at them.


Misconception 1: Men cannot get breast cancer

Men have breast tissue, so they can also develop breast cancer. Male breast cancer accounts for approximately 1% of all breast cancer cases. While the nature of male breast cancer is similar to that of women, there are differences in pathological characteristics and risk factors. Male breast cancer primarily affects middle-aged and elderly individuals.

Misconception 2: Small-breasted individuals have a lower risk

Breast size is not related to the risk of developing breast cancer. The development of all breast cancer cells is related to the mammary ducts or lobules, and the number of these structures is the same for all women. Therefore, breast size does not affect the likelihood of developing breast cancer. Women of all cup sizes should learn to perform self-examinations and undergo regular screenings.

Misconception 3: Breast lumps always indicate breast cancer

Many women become anxious after being diagnosed with benign breast diseases. Whenever they experience breast pain or notice a breast lump, they worry that they have breast cancer, often causing unnecessary inflammation from excessive self-examinations. In reality, approximately 80% of breast lumps are benign, such as cysts, and patients should follow their doctor's advice for further evaluation.

Misconception 4: Increased risk of breast cancer from X-ray exposure

Although X-rays do involve radiation, the amount is minimal and the risk is very low. X-ray screenings are helpful for detecting early-stage breast cancer. The American Cancer Society recommends that women over 40 years old undergo screenings every 1-2 years.

Misconception 5: No risk factors means no breast cancer

The probability of developing breast cancer is slightly lower for individuals without any risk factors, but it does not guarantee that they will not develop the disease. In theory, anyone can develop breast cancer, but the likelihood varies.

Misconception 6: Genetic testing is necessary for breast cancer prevention

Breast cancer does have a certain genetic susceptibility, and the BRCA1 and BRCA2 genes are the currently identified influencing factors. If these genes mutate, the risk of developing breast cancer is 80%, and the risk of ovarian cancer is 50%. However, only 10-20% of breast cancer patients in China have genetic susceptibility, so the benefits of nationwide genetic testing are limited. Those at high risk due to a family history can consider genetic testing. Regular breast examinations after the age of 25 and annual mammograms after the age of 40 are sufficient for the general population to detect and treat breast cancer early.

Misconception 7: Mastectomy is the only treatment for breast cancer

When ordinary people hear about breast cancer, they often think that breast removal is the only option. This is a misconception. Breast cancer is not a single disease but rather classified into four types: Luminal A, Luminal B, HER2-positive, and triple-negative. Depending on the severity of each type, personalized treatment plans are developed by doctors instead of resorting to "one-size-fits-all" approaches.

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