because few people like to think about the subject, but your health and even your life may depend on knowing a few simple facts.

Breast cancer is still the most common form of cancer, and one out of every nine women will develop it, the diagnosis however, does not automatically mean removal of the breast.

Any woman can develop breast cancer, the size of the breast does not affect the probability. We do not know what causes breast cancer but a woman is said to have a higher than average risk if she is over 40-years-old, has a family history of breast cancer such as a mother or sister or if she eats a high fat diet, being at risk does not necessarily mean that you will develop breast cancer. Nowadays, breast cancer can be detected at an earlier stage than ever before, and treated successfully. The earlier breast cancer is detected, the better the chances of survival and successful treatment. If you remember only one thing about breast cancer, it should be this, your best protection is early detection. Learn the breast cancer warning signs: A lump or thickening in the breast A change in breast shape or discharge from the nipple.

The following guidelines will help in early detection.

(1) Since most breast cancer are first discovered by women themselves, learning how to examine your breast can help save your life. From the age of 20 you should examine your breast once a month about a week after your menstrual period. Just before and during your period, it is quite normal for breast to be a bit swollen, lumpy and tender. After menopause or hysterectomy, your breast can be checked on the first day of each month. If a lump, dimple or discharge is discovered, it is important to see your doctor as soon as possible. However do not be frightened if you find a lump - most breast lumps or changes are not cancer, but only your doctor can make the diagnosis.

(2) Also, if you are between 20 and 40 of age your breast should be examined by your physician at least once a year. This can be done at the same visit as your yearly pap smear.

(3) The American Cancer Society recommends one baseline mammogram by the age of 40 years a mammogram every one-two years from age 40-49 years and yearly mammograms from age 50 onward. A mammogram is a safe, low dose X-ray technique that crates images of the inside of the breast. Mammography can detect lumps before they can be felt so that it is a particularly valuable screening procedure. Mammograms can be scheduled at the following places: The TB Health Centre, Bermuda Health Care Services and at The King Edward Hospital. More information on how to do monthly self breast exams and preventative breast care can be obtained from your family doctor or at the Maternal Health and Family Planning Clinic at The Dept. of Health on Victoria Street.

GLORIA BURGESS Nurse -- Maternal Health & Family Planning