FORCE’s eXamining the Relevance of Articles for Young Survivors (XRAYS) program is a reliable resource for breast cancer research-related news and information. XRAYS reviews new breast cancer research, provides plain-language summaries, and rates how the media covered the topic. XRAYS is funded by the CDC.
Breast cancer survivors
Women under 45
Women over 45
Men with breast cancer
Metastatic breast cancer
Triple negative breast cancer
BRCA mutation carriers
Her2+ breast cancer
Special populations: patients with breast cancer symptoms
Some patients take longer than others before getting a potential breast cancer checked by their health care provider. Believing that women who have breast cancer symptoms but have no lump may wait longer, researchers in this study used data from women who were diagnosed with breast cancer in 2009 and 2010 to identify possible explanations. (1/18/17)
Identifying whether or not people who have breast cancer symptoms but do not have a lump wait longer to see a health care provider than people who have a noticeable breast lump.
A breast lump is not the only symptom of breast cancer, but it is the most common. If people are less aware of other breast cancer symptoms, they might delay going to their health care provider, but early diagnosis is important for all breast cancer patients because it increases the chance of survival.
In a press release, Dr. Karen Kennedy, Director of the National Cancer Research Institute in the United Kingdom (NCRI), said, “This research shows that, all too often, women are delaying going to their doctor with symptoms of breast cancer. This could be because people are simply unaware that breast cancer can present in many different ways, not just through the presence of a lump. With a disease like breast cancer, it's essential to be diagnosed as early as possible so that a treatment plan can be developed and started. Awareness campaigns need to raise awareness of all of the potential symptoms of breast cancer so that people know how to spot the signs and when to go to a doctor.”
While a breast lump is the most common symptom of breast cancer, many other symptoms should also be checked. According to the American Cancer Society (ACS), other symptoms may include:
While these symptoms do not necessarily mean a person has breast cancer, people who experience any of them should quickly seek help from a health care provider to identify the cause. It is also important to note that although breast cancer is not usually painful, even painful lumps should be checked out by a health care provider.
The study authors noted that some women take longer than others to get their breast cancer symptoms checked. Minjoung Koo and colleagues from University College London (UCL) presented work at the 2016 National Cancer Research Institute (NCRI) cancer conference in Liverpool that tried to explain why some breast cancer patients took longer to report breast cancer symptoms to their health care providers and ultimately be diagnosed.
Could having symptoms other than a breast lump explain why some women take longer to consult with their healthcare provider?
Data from 2,316 women with breast cancer who were diagnosed in 2009 and 2010 were used for this study. This data included the symptoms present at breast cancer diagnosis.
This is a retrospective study, meaning the authors used data from previously documented records of patients instead of collecting patient data specifically for this study. This means that other unknown factors may have affected the results. Also, the work was done in England, so factors such as type of health insurance that may have affected access to care in the United States were not addressed. Additionally, because this research has not been published in a peer-reviewed journal, other researchers in the field who can carefully examine the data and confirm the validity of the work have not reviewed it. Finally, while the data indicates that breast cancer patients who had symptoms other than a lump took longer to go to their health care provider, researchers do not know why this occurred, because they were unable to interview or question patients.
This study suggests that having breast cancer symptoms other than a lump may be one reason why some patients with breast cancer take longer to be diagnosed than others. However, more work needs to be done to understand if that truly is the reason why these patients delayed going to their health care provider. In the meantime, health care providers should be sure to educate patients about non-lump symptoms so that patients can be aware of them and go to their health care provider when any of these symptoms arise.
Share your thoughts on this XRAYS article by taking our brief survey.
Koo MM, von Wagner C, Abel G, et al. “Typical and atypical symptoms in women with breast cancer: Evidence of variation in diagnostic intervals from a national audit of cancer diagnosis.” Presented at the 2016 National Cancer Research Institute (NCRI) Cancer conference in Liverpool.
FORCE Information: Breast Exams
Be Empowered Webinar: Screening and Nonsurgical Methods of Prevention for Women at High Risk for Breast Cancer
FORCE Publications: Breast Cancer Screening for High Risk Women