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According to Affinity Health, a leading provider of high-quality health cover, the incidence of breast cancer among South African women is increasing. The good news is that early detection saves lives!


The older you are, the greater the danger of developing breast cancer. But the disease can and does strike women under the age of 40. Hence, women must regularly examine their breasts and go for mammograms.

My Breast Cancer Journey

Anneke Landman’s journey with breast cancer began when she was 37 and noticed a tiny lump in her breast. She went for a sonar and mammogram and had to come back in six months and have it re-evaluated.


By then, it had grown significantly. But a sonar-guided needle biopsy confirmed it was fat necrosis and nothing to worry about.


Four months later, the lump had grown substantially. That time around, Anneke had aggressive oestrogen-positive breast cancer.


“The first couple of months were overwhelming. There was a flood of terminology, tests and appointments. Furthermore, every step needed another decision about the next step, the next test,” she says.


“I created a little cancer file where I put all my test results, paperwork and appointments. I filed anything to do with my cancer went in there. I took it to every consultation so I could keep everything together.


It helped me as I faced some big decisions in my life. I decided to have my eggs frozen, so I had to wait a few months before I could start treatment. With oestrogen-positive and HER2-positive breast cancer, I also had to ensure I was on the right medical aid. The treatments are expensive.”


Anneke had to undergo chemotherapy – a long and emotional process, but one that saved her life. Today she is cancer-free. She has used her experience to completely transform her lifestyle. She believes that lifestyle changes are essential when taking care of yourself.


“Cancer is a devastating diagnosis, but it can also be a chance for you to change and reflect on your life,” she adds.


“Look at the things that bring you joy and invest your time in them. Pay attention to what you put into your system. Make the right lifestyle changes and approach your treatment and future with positivity. Most importantly, listen to your body and cut down on stress.”

How Common Is Breast Cancer?

In 2020, there were 2.3 million women diagnosed with breast cancer and 685 000 deaths globally.


As of the end of 2020, there were 7.8 million women alive who were diagnosed with breast cancer in the past 5 years. That makes it the world’s most prevalent cancer.


Apart from non-melanoma skin cancer, breast cancer is one of the most common cancers in South Africa. One in 26 SA women is at risk of developing breast cancer.


And 16% of cancer deaths are attributed to it. There is growing concern that most women present with late-stage cancers.

I Found A Lump, Now What?

One of the first signs of breast cancer is a painless lump in the breast tissue. Other possible signs include:

  • Thickness or swelling of part of the breast.
  • Dimpling of breast skin.
  • Redness or flaky skin in the nipple area.
  • Nipple discharge.


“Many breast lumps are harmless. But all lumps need a medical examination,” says Murray Hewlett, CEO of Affinity Health.


“Regular Breast Self-Examination (BSE), plays an important role in discovering breast cancer earlier. That serves to defeat finding a breast lump unintentionally.


A BSE is best done once a month, preferably at the same time of day, following a menstrual cycle. You may feel or see any change in your breasts or underarms. Once that happens, contact your health practitioner immediately.”


Cancer lumps often feel hard and grow steadily in the breast. Eventually, cancer spreads to the lymph glands, causing hard lumps to be felt under the arm, too. Any changes in the appearance and size of your nipples and breasts should also be examined.


The Breast Health Foundation (BHF) highlights two particular indications of breast cancer.


  1. The first is an itchy, scaly, eczematous rashwhich can develop on the areola. That is the darker-coloured patch of skin around the nipple) or on the nipple itself. This rash can cause the skin to peel or become red and raw.


  1. The second symptom that can develop is an inversion and in-drawing of the nipple. Many women have naturally occurred and normal inverted nipples. But a nipple may suddenly become inverted, particularly on one side only. That would be a cause for concern that needs investigation.

The Word ‘Mammogram’ Scares Me!

A mammogram can sound like a scary word, but it is just a fancy name for a special x-ray to detect lumps in the breast. Contrary to some beliefs, mammograms do not prevent breast cancer. But they can save lives by finding breast cancer as early as possible.


Finding breast cancers early with mammography has more benefits. It also means that many more women can receive treatment for breast cancer as soon as possible. The sooner they receive treatment, the likelier they are to keep their breasts.


When caught early, localised cancers can be removed without resorting to breast removal (mastectomy).


Women from the age of 40 should go for an annual mammogram. Women 55 years and older should have a mammogram every two years.

Take Preventative Measures

If you want to help reduce your risk of breast cancer, do the following, starting right now:

  • Know your genetic risks.
  • Go for regular mammograms and essential health screening tests
  • Stop smoking.
  • Limit your alcohol intake.
  • Exercise at least moderately (aim for three times a week, for 30 minutes each time).
  • Find out what your healthy weight is and stick to it.
  • Always wear sunscreen when you are outdoors, in every season.
  • Revamp your diet, cutting out junk food, sugar and high-fat foods
  • Try to reduce stress.

What You Need to Know About Breast Cancer

  • Death rates from breast cancer have been declining since about 1990. That is due to:
  • When detected early, breast cancer has up to a 95% chance of successful treatment.
  • One of the worst risk factors for breast cancer is obesity, especially after menopause.
  • Men can also get breast cancer. Although rare, an estimated 2 470 men will be diagnosed with breast cancer.
  • Breast cancer is a general term for all cancers that develop from breast tissue cells.
  • The causes of breast cancer are mostly unknown. They may include several genetic, environmental, nutritional and hormonal factors.
  • Symptoms of breast cancer are not visible in the early stages.
  • Any changes in the breast needs monitoring, especially if there are breast cancer signs like:
    • Breast lumps
    • Changes in nipple appearance
    • Swelling under the arm or unusual nipple discharge.

Learn More: Everything You Need to Know About the Breast Cancer Gene Test

About Affinity Health

Affinity Health is South Africa’s leading provider of health insurance, offering you a range of options at affordable rates including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, your budget, and your lifestyle. Our range of healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service at all times. For more information, follow us on FacebookTwitter, and Instagram.

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