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.


Saudi rights body calls for law against underage marriages

Updated 12 November 2019

Saudi rights body calls for law against underage marriages

  • SHRC said it has studied the matter with a number of concerned agencies
  • SHRC said enacting such a law would protect children and maintain their rights

JEDDAH: The Saudi Human Rights Commission (SHRC), the Kingdom’s official human rights institution, has recommended the immediate issuing of a law to ban marriages to people under the age of 18.

It has also warned guardians that preventing daughters aged over 18 from getting married is a crime for which they will be held accountable.

The SHRC said it has studied the matter with a number of concerned agencies, and there are many negative effects of getting married under the age of 18.

It also noted that the Child Protection Law holds parents and caregivers accountable for children’s upbringing and protecting them from abuse.

Human rights activist Dr. Matouq Al-Sharif said the SHRC, in its statement, is drawing attention to practices by guardians that are contrary to international conventions, in particular the Convention on the Rights of the Child, which was ratified by the Kingdom via the commission.

“Based on the Paris Principles, which was adopted by the UN General Assembly in 1993, the SHRC was granted the right to provide the (Saudi) government with advisory opinions, recommendations, proposals and reports,” Al-Sharif told Arab News.

He added that the SHRC is responsible for ensuring that national legislation, regulations and practices harmonize with the international human rights conventions that the Kingdom has signed.

“One of the tasks of this institution is to follow up on the implementation of such formal pacts, and make sure it is effective,” Al-Sharif said.

“From some people’s point of view, Islam gives a guardian the right to wed his daughter. They claim that the Prophet Mohammed married Aisha when she was still 9 or 11, according to some narratives,” Al-Sharif said.

“However, authentic senior Muslim scholars have denied that and said the prophet asked for her hand when she was at that age. They confirm that the wedding was when Aisha was no longer a child.”

The human rights activist noted that the SHRC’s statement is a message to the relevant authorities to enact a law that rejects ideas that are contrary to Islam.

Al-Sharif said that the commission has long sought to change the belief that under-age marriages are permissible.

“It has even interfered to stop a number of marriages to minors in different parts of the country. Moreover, it has issued a medical study in cooperation with the Health Ministry. The study highlighted the health risks to minors of such marriages,” he said.

According to Al-Sharif, the SHRC received a letter from the ministry stating that it had conducted a study on the issue and found serious health risks associated with such marriages.

“The Health Ministry … listed a number of health risks, including osteoporosis … due to lack of calcium, anaemia, abortions, acute high blood pressure that may lead to kidney failure, pelvis and spinal deformities, and many other risks,” he said.

In a statement posted on its Twitter account, the SHRC said enacting such a law would protect children and maintain their rights.

The statement added that many studies have proven that underage marriages have negative physical and psychological effects. It said local and international laws consider people under the age of 18 as children.

The SHRC also issued a statement describing families preventing their adult daughters from marrying as a clear violation of human rights.

The SHRC stressed that Saudi law criminalizes such actions, and that the appropriate authorities would deal with any reported cases. It added that under Shariah law, any woman experiencing such treatment could file a lawsuit.

It has called on relevant authorities to help raise awareness among women about their rights, and to highlight the penalties for those who violate the law.