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

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.


LA Italian eatery Madeo delights the palate in Riyadh Season pop-up

Updated 15 December 2019

LA Italian eatery Madeo delights the palate in Riyadh Season pop-up

  • Despite minor setbacks he faced while setting up, Vietina considers the experience to be a positive one

RIYADH: Renowned Italian restaurant Madeo has opened up in Al-Murabba for Riyadh Season. 

The pop-up has started brightly, and head chef Gianni Vietina invited Arab News to sample the menu and chat about his experience.

Vietina, in Saudi Arabia for the first time, said that he loved the location he had set up in, and was very happy to be opening up in the Kingdom. 

“The location is gorgeous. At night, with all the lights on, the music going, it’s very nice.”

Despite minor setbacks he faced while setting up, Vietina considers the experience to be a positive one and that the response was even better than he had expected. 

“Like anything new, you have quests, you have problems. Up to now, we’re doing pretty good. We are up and running. We’re comfortable now, which is a shame as we’re leaving pretty soon,” he said.

He added that he would repeat the experience in a heartbeat if he could: “They were nice enough to ask me to stay in Saudi a little longer, but I can’t. I need to go back home. But I would love to come back.”

He said that while he was not planning to open up a permanent restaurant in Saudi Arabia, he would not rule it out completely.  “I’ve been offered options, and friends have offered to show me locations while I’m here, but I can’t do it right now, I just opened a new restaurant two months ago,” he said.

“I chose the dishes that I know that most of the Saudis that visit my restaurant in Los Angeles like.”

Gianni Vietina, Head chef of Madeo

The pop-up’s menu contains most of what the original restaurant offers, including his ever-popular penne amadeo and spaghetti bolognese, with the chefs using a combination of imported and locally sourced ingredients. 

“I chose the dishes that I know that most of the Saudis that visit my restaurant in Los Angeles like,” he told Arab News.

For the pop-up, Vietina has stuck to using halal and alcohol-free ingredients. 

“It was challenging at the beginning. But the bolognese at Amadeo doesn’t contain pork, and I realized after we tried cooking without wine that almost nothing changed. I actually prefer it,” he said.

Madeo is a favorite of Saudis visiting Los Angeles, with Vietina going so far as to describe the restaurant as a “Little Riyadh” on most evenings between July and September. 

He even recognizes some of the customers who have come into the Riyadh pop-up, and always stops over to greet them.

Upon sampling the menu, it’s easy to see why the food at Madeo has remained popular all these years. 

The eggplant parmigiana is a perfect blend of crusty cheese and silky smooth eggplant, with hints of basil and rosemary. 

The bolognese is rich, meaty and decadent, without being too heavy and greasy. And the penne Amadeo, which Vietina has been eating since his childhood, is a timeless classic of crushed tomato, basil, finished off with butter and Parmigiano Reggiano for a creamy, rich flavor.