As an advocate for women’s health, and as the daughter of a
breast cancer survivor, I think it’s important to reflect on some of the
stories, and controversies, that surrounded Breast Cancer Awareness Month as it
draws to a close.
There has been some controversy
over the corporate embrace of pink October, as some people think companies are
profiting off of cancer. It is true that some ‘pink products’ are sharing very
little to none of their proceeds with breast cancer charities. Check the fine
print and see if money is being donated before you buy. While there may be some
taking advantage, all the pink products and corporate partnerships are a
staunch reminder that we have come a long way since the days when breast cancer
was a taboo topic that few discussed. Thanks to Breast Cancer Awareness Month
and organizations like Susan G. Komen For the Cure,
the breast cancer community has come out of the shadows.
While pink October has been generally embraced by the public,
this year’s awareness month came with a reminder that “breasts” are still a
taboo topic.
The Cheerleading squad at Gilbert High School in Arizona
made headlines
this month when T-shirts they made to raise money for breast cancer were banned
by the principal, who deemed that the T-shirt slogan, “Feel for Lumps, Save
Your Bumps”, was inappropriate in a school setting. The principle made it clear
that he was not against breast cancer awareness and had encouraged a wear pink
campaign, but did not approve of the T-shirt phrasing.
I can’t help wondering what expression the principle would
have found appropriate. The slogan stayed away from more suggestive language
such as “knockers” or “boobs”. If the relatively innocuous ‘bumps’ was too edgy,
what would have cut it? Something tells me the anatomically correct ‘breasts’
would have also been deemed inappropriate for a school setting. I also worry
that if we treat ‘check for lumps’ as stepping over some decency line, we make
the very topic (and therefore the act) of self-exams inappropriate or taboo.
This is certainly not the message we want to send to young women.
It is clear that dialogue surrounding breast cancer is still
somewhat suppressed. This is a complex and common disease, and we need to be
able to reference a full and uncensored lexicon to fight it head on.
2011 DC Susan G. Komen Race for the Cure
So, how complex is it? Usually, more complex than news
articles report. This was clear in one of the most reported stories of Breast
Cancer Awareness Month: E! News anchor Giuliana Rancic, 37, announced
that she discovered she has early stage breast cancer when she received a precautionary
mammogram before a fertility treatment. Rancic said that she went public because
she wanted other woman to know they could be at risk (sending her major kudos
and well wishes).
Some reporters decided to look into the official mammogram
guidelines, and I was disappointed with their take on preventative care.
Deborah Kotz of the Boston Globe reviewed
the guidelines and came to the conclusion that women under 40 don’t need to get
mammograms unless they are at high risk or have a family history of breast cancer.
Kotz states, “Unfortunately,
women may hear Rancic’s story and assume that they, too, should have a
mammogram in their 30s.”
The problem with this line of thinking is that it
assumes women know when they are high risk. Don’t think you have a family
history of breast cancer? You could be wrong. If you are the child of only
children or from a small family there is a possibility that breast cancer runs
in your gene pool but has not manifested in the small sampling that is your
family. Also, remember that for older generations breast cancer was a taboo
topic and many women never discussed it even inside their families. This is
where I am lucky to be the daughter of a breast cancer survivor; I know my
family history, and my Doctor has informed me to start getting mammograms at
35.
Kotz does make
the point that mammograms are not always effective on younger women who have
dense breast tissue. This can lead to misdiagnosis, but can also mask tumors (shout
out to CA State Senator Joe Simitian who recently tried
to pass legislation requiring doctors to inform patients when they have dense
breast tissue). So, what’s a girl to do with all this conflicting information?
Talk to your Doctor, know your options, and most importantly “Feel for Lumps,
Save Your Bumps”.
Note: This post was written before Susan G. Komen decided to defund Planned Parenthood. While I respect the work Komen has done in the past to increase awareness, I am cutting my ties with the organization. You can read about my decision here: http://mcdermottminute.blogspot.com/2012/02/our-body-parts-ourselves-komen-and-new.html