24/10/2025
October brings about the important topic of women’s health — and breast cancer in particular — into focus. Breast cancer is the most common cancer in women and accounts for about 22% of cancer cases among South African women. While breast cancer is a common and feared disease, it remains highly treatable, especially when detected early. At Zuid-Afrikaans Hospital, we collaborate closely with specialised centres such as the Mammography and Bone Density Unit at Life Groenkloof Hospital, where active screening and early detection are top priorities. Screening generally begins at 40 years of age, and includes annual mammography, with or without ultrasound and biopsy. If there is a strong family history (sisters, mother, male breast cancers, ovarian cancers, or BRCA gene mutations), screening starts from age 35. Self-examination and breast awareness are also important. If you notice a lump, pain, change in breast colour, or nipple discharge, see your general practitioner for a quick assessment. Most early, small cancers can be easily removed using breast-conserving surgery. Larger, more aggressive procedures like mastectomy and reconstruction are reserved for large, multicentric, or genetically high-risk lesions (such as BRCA-positive cases). All treatment involves an oncologist, who determines whether chemotherapy should be given before or after surgery, as well as hormonal therapy and long-term follow-up. If you would like to know your personal risk for breast cancer, tools such as the online IBIS risk assessment calculator are easily accessible.
Remember — early detection is key!
Written by Dr. Chris Elsenbroek - General Surgeon, Zuid-Afrikaans Hospital
