Expert calls for self-examination for early detection of breast cancer

One in every eight women will suffer from breast cancer in her lifetime. (Shutterstock)
Updated 23 October 2018
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Expert calls for self-examination for early detection of breast cancer

  • Women in Saudi Arabia have become more aware of the disease and receive support from their families

JEDDAH: In honor of Breast Cancer Awareness Month, Dr. Amel Merdad is providing a helpful guide about the disease to women .
Recent statistics from the World Health Organization (WHO) indicate that more than 1.2 million breast cancer cases are diagnosed worldwide each year. Breast cancer kills more than 500,000 women a year. The disease ranks second in cancer incidence, after lung cancer, worldwide.
One in every eight women will breast cancer in her lifetime.
The evolution of scientific research and increased awareness have contributed significantly to the increase in recovery rates, as a result of early detection of the disease.
Ten percent of breast cancer cases occur as a result of genetic mutations inherited by the generations in a family.
The incidence of breast cancer increases with age, and it usually occurs after age 40. The average age of breast cancer patients in Saudi Arabia is 48 years and it is so worldwide. Dr. Merdad provided her advice on early screening methods. “Periodic self-breast examination helps women to be aware and familiar with their breasts so they can take care of them, being healthy and not only pretty.
Dr. Merdad added that self-breast examination is to be done once a month on the sixth or seventh day of the menstrual cycle from the age of 20 and forward. “In the case of menopause, self-examination takes place on the same date every month,” she said.
She also gave these useful guidelines:

Self testing
Stand in front of the mirror and look at the breasts to check for anything unusual, such as the presence of lumps or differences in the size of the breasts or the presence of swelling or changes in skin or nipple.
Put your hands behind your head to notice in the mirror for any difference in the lower part of your breasts. Put your hands on your waist and bend forward slightly with the pressure of the shoulders and elbows forward to check for any change in the shape or size of the breasts.
Lift your left hand and use three fingers from the right hand to examine the left breast in a circular way from the outer edge of the breast and in the direction of the nipple, focusing on the area between the breast and armpit and area under the armpit.
Repeat this step with your right breast. Press the nipple gently to observe any abnormal discharge. Repeat the previous steps while lying on your back.

Screening
Age 20-40 years old: Self-examination is recommended monthly. Also check with your doctor every three years. An ultrasound is recommended for the breast examination only if necessary.
Age 40-65 years: Self-examination is recommended monthly and check with the doctor every year. Mammograms are indicated once every one to two years for all women.
More than 65 years: Monthly self-examination and check with your doctor annually. Schedule a mammogram every two to five years.
Dr. Merdad said that taking care of a woman psychologically plays an important role in enhancing the cure rate.
“To all women. Protect your health, have a great life, and screen yourselves for breast cancer,” she added.


US denies ‘final conclusion’ reached on Khashoggi case

Updated 18 November 2018
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US denies ‘final conclusion’ reached on Khashoggi case

  • A US newspaper published what it claimed were details of an intelligence report on the case
  • ‘The State Department will continue to seek all relevant facts’

JEDDAH: The US government denied on Saturday it had reached a final conclusion over the killing of Jamal Khashoggi after a US newspaper published what it claimed were details of an intelligence report on the case. 
“Recent reports indicating that the US government has made a final conclusion are inaccurate,” State Department spokeswoman Heather Nauert said.
“There remain numerous unanswered questions with respect to the murder of Mr. Khashoggi. The State Department will continue to seek all relevant facts,” she said.
“In the meantime, we will continue to consult Congress, and work with other nations to hold accountable those involved in the killing of Jamal Khashoggi.”

But President Donald Trump told reporters on Saturday that his administration would get “a very full report,” including who was responsible for Khashoggi’s death, on Monday or Tuesday.
The Washington Post published an article citing anonymous sources, who it says are close to the CIA which suggests the Crown Prince Mohammad bin Salman ordered the killing — something Saudi Arabia vehemently denies.
The Kingdom’s public prosecutor on Thursday released details of its investigation, saying the decision to kill the journalist was made by the head of a rogue mission during an attempt to repatriate him. The prosecutor is seeking the death penalty for five of the suspects. 
On Saturday, Donald Trump spoke with CIA Director Gina Haspel and Secretary of State Mike Pompeo from Air Force One, press secretary Sarah Huckabee Sanders said. 
Trump praised US relations with Saudi Arabia when he was asked about the case. Saudi Arabia is “a truly spectacular ally in terms of jobs and economic development,” the US president said.
Earlier, Saudi Arabia’s ambassador to the US Prince Khalid bin Salman, strongly denied the Washington Post story, and said he did not tell Khashoggi to go to Turkey, as the report claimed. 
“I never talked to him by phone and certainly never suggested he go to Turkey for any reason. I ask the US government to release any information regarding this claim,” Prince Khalid said
Khashoggi, a Saudi who lived in the United States, was a columnist for the Post.
He was killed on Oct. 2 at the Saudi Consulate in Istanbul after he went to get marriage documents.