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Lewes, Delaware
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October 31, 1997     Cape Gazette
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October 31, 1997
 

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32 - CAPE GAZETTE, Friday, October 31 - November 6, 1997 Cancer Watch Mammograms can provide the gift of a lifetime By Janet Osuch, M.D. The most important piece of in- formation women need to know about mammography is that it is the single most powerful tool to detect breast cancer early, and the earlier the detection, the wider a woman's options are for treat- ment. Get a mammogram when you need one and give yourself the gift of a lifetime. Mammography is particularly important because it can detect breast cancers too small to be felt by a physical examination. Research has shown that routine mammography detects 40 percent of cancers not found on a physical examination, thus reducing the death rate from breast cancer by Yearly clinical By Laura Morris, M.D. Mammography, clinical breast examination and breast self-exam- ination are the three tools used to detect breast cancer. For years, the importance of regular mammo- grams for the early detection of breast cancer has been empha- sized. Often overlooked is the im- portance of yearly clinical breast examination by a health-care provider. Mammography is important be- cause it can detect cancers that are too small to be felt by physical ex- amination. Research has shown that routine mammography de- tects 40 percent of cancers not found on physical examination, thus redticing the death rate from breast cancer by 30 percent. However, 10 percent to 15 per- cent of breast cancers are found only by physical examination. Abnormalities that may be found on physical examination include dimpling or puckering of the skin, nipple discharge, thickenings or lumps. An abnormal finding on a physical examination requires fur- ther evaluation, no matter what the mammogram shows. A thorough clinical breast ex- amination involves both inspec- tion and palpation of the breast tissue. A woman's breasts should be observed in the sitting position with the arms relaxed, held over her head, and placed on the hips while she is pushing in. These po- Fitness Tip of the Week Focus on Health Osteoporosis seminar set for Wednesday, Nov. 5 A free "Focus on Health" semi- nar on osteoporosis will be held in the education classroom at Beebe Medical Center on Wednesday, Nov. 5, from 7 to 8 p.m. Jane Go- vatos, R.N., is the guest speaker. For more information about the seminar or to register, call 645- 3332. 30 percent. Medical experts agree that mammography screeninge at reg- ular intervals, together with clini- cal breast exams, and monthly breast self-examination, are the three techniques that provide the best means of protection against breast cancer. The importance of self-exami- nation and examination by a health-care provider should not be minimized. In about 10 percent to 15 per- cent of women, breast cancer is found solely on the basis of physi- cal examination and would not be detected by a mammogram. Therefore, any breast lump needs further evaluation, no matter what a mammogram shows. October is National Breast Can- cer Awareness Month, a program dedicated to educating women about breast cancer and the impor- tance of early detection. Again this year, a highlight of the program was National Mam- mography Day (Oct. 17), a day when women were encouraged to get a mammogram. During the entire month of Oc- tober, participating radiologists accredited by the American Col- lege of Radiology, offered dis- counted screening mammograms. Every woman is at risk for breast cancer, no matter her age, family history or current health. Seventy-five percent of women exams sitions allow the examiner to ob- serve any skin changes that may be present. The areas above and below the collarbone and under each arm are then palpated. Each breast is examined while the woman is lying down to deter- mine if any abnormal thickening, lumps or nipple discharge are pre- sent. The entire examination, from observation to palpation, should take approximately three-to-five minutes. October is National Breast Can- cer Awareness Month, a program dedicated to educating women about breast cancer and the impor- tance of early detection. During the entire month of October, par- ticipating radiologists, accredited by the American College of Radi- ology, will offer discounted screening mammograms. Medical experts agree that all women age 50 and over need to receive an annual mammogram, and an annual clinical breast ex- amination. For women ages 40 to 49, some controversy exists as to when and how often to receive a mammogram. The majority of or- ganizations recommend mam- mography every one to two years in this age group. The National Cancer Institute recommends checking with your healthcare provider to decide what aid in early detection is best for you. A clinical breast examination is recommended yearly. For women ages 20 to 39, a clinical breast examination is rec- ommended at least every three years. Routine mammography is not recommended in this age group. Monthly breast self-examina- tion is encouraged for all women. Editor's note: Laura Morris, M.D., is a member of the Ameri- can Medical Women's Associa- tion. Swim for aerobic workout If you like water, swimming can be your aerobic activity of choice. It is especially appeal- ing to those who have sustained various injuries and cannot af- ford even the slightest stress on the bones or joints. In fact, swimming helps to loosen stiff joints. Submitted by the YMCA of Rehoboth Beach For more information, call 227-8018 who are diagnosed with the dis- ease have none of the commonly known risk factors. Mammograms are especially important for older women, how- ever. As a woman ages, her chances of developing breast can- cer increase. Medical experts agree that all women age 50 and older need to receive regularly scheduled mam- mograms. An annual screening is the usual recommendation. For women ages 40 to 49, some controversy exists as to when and how often to have a mammogram. In November 1993, 21 organi- zations met to recommend mam- mography every one to two years in women in this age group, while the National Cancer Institute rec- ommends checking with a health- care provider to decide what is best for you. Editor's note: Janet Osuch, M.D., is a member of the Ameri- can Medical Women's Associa- tion. Introducing DigiFocus, the first 100% digital hearing aid. Now the digital tech- nology that made CDs possible is available in an advanced hearing instru- ment. With its computer- ized 100% digital sound processing, DigiFocus makes millions of calcula- tions per second, con- stantly shaping the incom- ing sound to suit your hear- BY OTIICON ing - automatically. What's more, unlike other hearing instruments, DigiFocus splits sound into seven distinct frequencies, so it can be more precisely fit to your specific hearing needs. Find out what digital technolo- gy can mean to your hearing. Call today! HEARING AID ASSOCIATES Millsboro 934-1471 Hours: Monday-Friday 9-5 p.m. Evenings Available by Appointment - 2 miles N. of Fit. 24 on Fit. 30 6 miles S. of Rt. 9 on Rt. 30 We are the only Certified DigiFocus Hearing Aid Center in Delaware (302) 645-3712 (302) 424-7781