A mammography mobile unit offers breast cancer tests.  Jeffrey E Biteng / The National
A mammography mobile unit offers breast cancer tests. Jeffrey E Biteng / The National

Women avoid check-ups for fear of breast cancer ‘mutilation’



ABU DHABI // Many women are reluctant to have a breast exam because they fear a cancer diagnosis always leads to a mastectomy, doctors say.

The surgery is often stigmatised as a form of “mutilation” in the UAE.

This misconception is deterring women from seeing a doctor but delaying treatment costs lives, warned Dr Nabil Debouni, the medical director at Burjeel Hospital in Abu Dhabi.

“Women here, they are worried in case they are told something is wrong. They believe it is like being broken,” said Dr Debouni, speaking as Breast Cancer Awareness Month is marked worldwide.

“The culture of this country means women are afraid of having the diagnosis of breast cancer as they believe it means surgery.

“Surgery means some form of mutilation and there is a stigma associated with that.”

But early detection of the disease is key to survival, Dr Debouni said.

There are four stages of breast cancer, which is defined by the prevalence and size of lymph nodes and tumours in the breast.

If caught in stage one, the chance of survival is between 95 and 100 per cent.

By stage four, this reduces to just 20 per cent, Dr Debouni said.

Between 60 and 65 per cent of breast cancer patients in the UAE are diagnosed in stage one – up from about 40 per cent 15 years ago, he added.

From the age of 20, women should carry out self-examinations every month and have a physical exam with a GP every three years to increase the chance of catching the disease early.

After the age of 40, women should have a mammogram every two years, said the Iraqi consultant general surgeon.

Breast cancer is more common among women but men can also be victims. The latest statistics from the UAE’s Pink Caravan awareness campaign state that one in every 100 cases is a man.

Dr Debouni said patients should be aware that breast cancer does not always equal a mastectomy.

“Advancements in managing breast cancer means a simple lumpectomy, which removes the tumour and surrounding tissue in the breast without the need for a mastectomy, followed by chemotherapy or radiography,” he said.

Breast cancer is the most diagnosed form of the disease in both Abu Dhabi and Dubai.

“At least 60 per cent of the cases of cancer we see are breast cancer cases,” said Dr Shaheenah Dawood, a consultant medical oncologist at Dubai Health Authority.

Dr Dawood believes there should be a national breast-cancer screening programme for all women.

At the moment access to screening depends on what each clinic offers and patients’ health insurance.

“Early detection means you catch the disease either at the pre-malignant stage or very early malignant stage, where long-term cure is possible,” she said. “The more advanced the disease, the more difficult it is to treat.”

Dr Dawood said there were many misconceptions associated with breast cancer.

“First, women think cancer is not curable and second, there is a belief that treatment for this disease is not available here,” she said. “We can cure breast cancer if patients present early.

“We cannot cure diabetes and we cannot cure hypertension but we can certainly cure breast cancer.

“The treatment a patient would receive in the UAE is just as good, if not better, compared to the rest of the world. Most drugs needed to treat this disease become available in the UAE almost as soon as they are approved in the US.

“Over the last decade, newer treatment options are available, allowing for long-term cure. We now understand the biology of the disease better and we recognise that not all breast cancer is the same.

“Treatment has to be individualised based on the tumour biology.

“The one-size-fits-all strategy of treatment no longer exists.”

While early detection and screening is the best way to treat breast cancer, there are ways to lower the risk of getting the disease, Dr Debouni said.

“People cannot mitigate age, sex, or genetic factors but lifestyle is a very important part when we talk about risk factors,” he said.

“Obese people have a higher risk of breast cancer, as is a sedentary lifestyle. Eat healthier and do exercise and that will definitely reduce the risk of breast cancer.”

Breast Cancer Awareness Month, which is marked in countries across the world every October, helps to bring people’s attention to the disease.

jbell@thenational.ae

$1,000 award for 1,000 days on madrasa portal

Daily cash awards of $1,000 dollars will sweeten the Madrasa e-learning project by tempting more pupils to an education portal to deepen their understanding of math and sciences.

School children are required to watch an educational video each day and answer a question related to it. They then enter into a raffle draw for the $1,000 prize.

“We are targeting everyone who wants to learn. This will be $1,000 for 1,000 days so there will be a winner every day for 1,000 days,” said Sara Al Nuaimi, project manager of the Madrasa e-learning platform that was launched on Tuesday by the Vice President and Ruler of Dubai, to reach Arab pupils from kindergarten to grade 12 with educational videos.  

“The objective of the Madrasa is to become the number one reference for all Arab students in the world. The 5,000 videos we have online is just the beginning, we have big ambitions. Today in the Arab world there are 50 million students. We want to reach everyone who is willing to learn.”

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Expert advice

“Join in with a group like Cycle Safe Dubai or TrainYAS, where you’ll meet like-minded people and always have support on hand.”

Stewart Howison, co-founder of Cycle Safe Dubai and owner of Revolution Cycles

“When you sweat a lot, you lose a lot of salt and other electrolytes from your body. If your electrolytes drop enough, you will be at risk of cramping. To prevent salt deficiency, simply add an electrolyte mix to your water.”

Cornelia Gloor, head of RAK Hospital’s Rehabilitation and Physiotherapy Centre 

“Don’t make the mistake of thinking you can ride as fast or as far during the summer as you do in cooler weather. The heat will make you expend more energy to maintain a speed that might normally be comfortable, so pace yourself when riding during the hotter parts of the day.”

Chandrashekar Nandi, physiotherapist at Burjeel Hospital in Dubai
 

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Tips on buying property during a pandemic

Islay Robinson, group chief executive of mortgage broker Enness Global, offers his advice on buying property in today's market.

While many have been quick to call a market collapse, this simply isn’t what we’re seeing on the ground. Many pockets of the global property market, including London and the UAE, continue to be compelling locations to invest in real estate.

While an air of uncertainty remains, the outlook is far better than anyone could have predicted. However, it is still important to consider the wider threat posed by Covid-19 when buying bricks and mortar. 

Anything with outside space, gardens and private entrances is a must and these property features will see your investment keep its value should the pandemic drag on. In contrast, flats and particularly high-rise developments are falling in popularity and investors should avoid them at all costs.

Attractive investment property can be hard to find amid strong demand and heightened buyer activity. When you do find one, be prepared to move hard and fast to secure it. If you have your finances in order, this shouldn’t be an issue.

Lenders continue to lend and rates remain at an all-time low, so utilise this. There is no point in tying up cash when you can keep this liquidity to maximise other opportunities. 

Keep your head and, as always when investing, take the long-term view. External factors such as coronavirus or Brexit will present challenges in the short-term, but the long-term outlook remains strong. 

Finally, keep an eye on your currency. Whenever currency fluctuations favour foreign buyers, you can bet that demand will increase, as they act to secure what is essentially a discounted property.

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Transmission: Eight-speed auto
Fuel economy, combined: 6.5L/100km
On sale: December
Price: From Dh330,000 (estimate)
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Kanguva
Director: Siva
Stars: Suriya, Bobby Deol, Disha Patani, Yogi Babu, Redin Kingsley
Rating: 2/5
 
Disclaimer

Director: Alfonso Cuaron 

Stars: Cate Blanchett, Kevin Kline, Lesley Manville 

Rating: 4/5

Tips for job-seekers
  • Do not submit your application through the Easy Apply button on LinkedIn. Employers receive between 600 and 800 replies for each job advert on the platform. If you are the right fit for a job, connect to a relevant person in the company on LinkedIn and send them a direct message.
  • Make sure you are an exact fit for the job advertised. If you are an HR manager with five years’ experience in retail and the job requires a similar candidate with five years’ experience in consumer, you should apply. But if you have no experience in HR, do not apply for the job.

David Mackenzie, founder of recruitment agency Mackenzie Jones Middle East

Match info

Uefa Nations League A Group 4

England 2 (Lingard 78', Kane 85')
Croatia 1 (Kramaric 57')

Man of the match: Harry Kane (England)

From Zero

Artist: Linkin Park

Label: Warner Records

Number of tracks: 11

Rating: 4/5