by the women themselves’.85 In fact, a seven-year study of 33,000 women showed that self-examination could reduce breast cancer deaths by up to one-fifth. Although some lumps detected by mammogram aren’t palpable (able to be felt with the hand or fingers alone), the reverse is true as well. Indeed, one researcher believes that routine screening lulls you into a false sense of security, so that you tend to ignore warning signs such as suspicious lumps.86
If you don’t want a mammogram, make sure to opt for a regular programme of self-examination (your doctor can teach you how to do it) and breast examination by your doctor. If he is unwilling or has limited experience of physical examinations, you might ask to be referred to a clinic where these are routinely carried out, or find another doctor. New research shows that regular self-examination and yearly exams by a trained health professional offer more accurate prediction of cancer than mammograms.87 If you do decide to have a mammogram, shop around. Make sure the equipment is specially designed for mammography and therefore able to give the best image with the least radiation, and ask a lot of questions about the number taken each week, as well as when the machine was last inspected. (Machines should be tested at least once a year.)
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