You wake up feeling fine. You grab your morning coffee -- and maybe a doughnut -- and head for the shower. But not more than five minutes pass when suddenly you get a shock.
What's different? You find a lump in your breast. And even though studies show up to 80% of all breast lumps are harmless, you still feel threatened and want to know you'll be OK.
Fortunately, that's a lot easier now, thanks to advances in diagnostics -- a variety of options that pull together not only the specifics of your breast lump, but also look to your personal and family history, your age, even the results of a previous mammogram, to ensure you have the quickest and most accurate diagnosis possible.
"One of the real advances we are seeing in breast diagnostics is this trend toward individualized care. It's no longer a one-size-fits-all mentality. When it comes to diagnosing and treating breast abnormalities, it's a little bit different for every woman," says Cheryl Perkins, MD, scientific advisor for the Susan G. Komen Breast Cancer Foundation.
Advances in diagnostics include new uses for ultrasound, the advent of digital mammography, the increased use of magnetic resonance imaging (MRI), and the development of newer and more complete biopsy techniques. Experts say these methods are allowing doctors to get better at reducing patient anxiety and the need for unnecessary surgery -- while helping to find and eliminate more breast cancers than ever.
But what does this all mean on the morning you discover your lump? And what do you do first? Experts say the journey should always begin with a call to your primary care doctor.
"Some really exciting things are going on in the diagnosis of breast cancer," says Constance Lehman, MD, PhD. Lehman is principal investigator of the American College of Radiology Imaging Network (ACRIN) Breast MRI Trial, and director of breast imaging at the University of Washington Medical Center in Seattle.
"But still," says Lehman, "the most important thing to do when you find a lump, or see or feel any breast irregularity, is to call your personal physician and have it evaluated. And don't schedule a mammogram or try to see a surgeon on your own."