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If the tumour is very large, treatment may be given to reduce its size before the operation takes place. In most cases, the surgeon also removes lymph nodes under the arms to fnd out if cancer cells have spread into the lymphatic system (a network of vessels that link different parts of the body). If the cancer has reached the lymph nodes, it’s more likely to have spread to other parts of the body. After either a lumpectomy or mastectomy, radiotherapy may be given to reduce the chances that the cancer will return.

The breast cancer cells may be tested to see if they are sensitive to oestrogen, and are more likely to grow if the hormone is present. If this is the case, the patient may be given a drug that blocks the action of the hormone, restricting the cancer growth. However, as some forms of this drug produce menopausal symptoms, younger women whose breast cancer is more likely to have spread could be offered a combination of surgery and chemotherapy instead.

Following breast surgery, or even breast removal, reconstructive surgery is possible to restore the appearance of the breast. This could even be carried out at the same time as a mastectomy. Techniques have improved in recent years, and surgeons are able to more closely mimic the appearance of the other breast, giving a normal appearance in clothes.

Reducing your risk

Breast cancer prevention begins with various factors you can control. For example:

Get screened regularly

Regular screenings (mammograms) are recommended once every two years for women over 40 or for women who have a family history of breast cancer. The Hong Kong Breast Cancer Foundation Breast Health Centre provides quality and affordable breast screening services for all women. The Breast Health Centre partners with well-known radiologists and offers extremely competitive pricing.

For those who can afford the service, the cost is: Clinical examination + mammogram = $750

Clinical examination + mammogram + ultrasound = $1,200 For women who wouldn’t be able to afford it, free screening services are provided to ensure that fnancial limitations are not a barrier.

For more information, contact Daisy Kwan at the Hong Kong Breast Cancer Foundation, on 3143 7301.

Limit alcohol consumption

The more alcohol you drink, the greater your risk of developing breast cancer. If you choose to drink alcohol – including beer, wine or spirits – limit yourself to no more than one drink per day.

Control your weight

Being overweight or obese increases the risk of breast cancer. This is especially true if obesity occurs later in life, particularly after menopause.

Get plenty of exercise

Being physically active can help you maintain a healthy weight, which, in turn, helps prevent breast cancer. For most healthy adults, this means at least 150 minutes per week of moderate aerobic activity (think brisk walking or swimming) or 75 minutes of vigorous aerobic activity (such as running), in addition to strength-training exercises at least twice a week. If you’re just starting a physical activity programme, start slowly and build intensity gradually.

Breastfeed

Breastfeeding may also play a role in breast cancer prevention. The longer you breastfeed, the greater the protective effect will be.

Avoid exposure to environmental pollution While further studies are needed, some research suggests a link between breast cancer and exposure to the polycyclic aromatic hydrocarbons found in vehicle exhaust fumes and air pollution.

Get involved!

There is much that you can do to support the cause and raise awareness of breast cancer.

The Hong Kong Breast Cancer Foundation (www. hkbcf.org) website is packed with valuable information. It is the only local charity dedicated to breast cancer education, support, advocacy and research.

Donations can be made to the Hong Kong Breast Cancer Foundation by downloading the donation form from their website.

You could also get involved in the “Pink Walk against Breast Cancer”, which takes place on Sunday, 9 October, at The Peak. Find details at: http://hkbcf.org/pinkwalk/eng/. The Ladies Recreation Club will host the ffth annual Pink Ribbon Tennis Tournament on 10 October to raise funds for breast cancer awareness. The day will include mini-manicures and head and neck massages, too! Contact the LRC sports desk on 3199 3800 for further information, or download a registration form at: www.lrc.com.hk/site/ download/prt.xls.

Find help

For any advice or support, please contact your local GP, or phone the Hong Kong Breast Cancer Foundation support service hotline on 2525 6033.

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