As part of Breast Cancer Awareness Month this October, NHS Lothian spoke with Carrie Murdoch, Health Promotion Specialist for SE Scotland Breast Screening, to learn more about the vital role of breast screening and what to expect during a screening appointment:
Why is Breast screening so important?
In Scotland, breast screening saves around 130 lives each year.
Mammograms can detect tiny cancers when they are at an early stage, often when they are too small to see or feel. The earlier Breast Cancer is found the easier it is to treat.
How do you prepare for a Breast Screening Appointment?
It’s best to wear a skirt or trousers as you will be asked to undress from the waist up.
Please do not wear talcum powder or spray or deodorant before the screening as this can interfere with the image.
What happens during a Breast Screening Appointment?
Breast Screening uses x-rays called Mammograms to check your breasts for signs of cancer.
A female mammographer will position one breast at a time between two plates and the machine will take two x-rays of each.
Having your breast pressed between the plates can be uncomfortable, but it is only for a very short time. You can ask to stop at any point if you feel too much discomfort, and the mammographer will work with you to adjust your position.
The breast screening appointment usually takes around 10 minutes from start to finish and the mammogram x-ray itself takes barely a minute.
What age and when will you be invited for your breast screening appointment?
We screen women from 50-70 years old. Don’t worry if your appointment doesn’t arrive on your 50th birthday as each GP practice takes part in a screening programme every 3 years. Because of this you may not receive an invitation until you are 53.
What do you enjoy most about your role?
I enjoy being able to connect to our clients and offer support to participate in the screening service. It’s rewarding to work with colleagues to promote breast screening and inform women about how they can look after their health.
The trial will use innovative screening methods like an MRI scan and see hundreds of thousands of men across the country participating
On International Men’s Day, UK Government joins Prostate Cancer UK to unveil £42 million screening trial to find ways of detecting country’s most common male cancer earlier
Hundreds of thousands of men across the country will participate, with one in ten participants set to be black men who have a much higher prostate cancer risk
NHS England to carry out suite of improvements to men’s health pages online, and first ever Men’s Health Ambassador set to be appointed by government
Thousands of men’s lives could be saved, and their loved ones spared the tragedy of losing someone to cancer, as a major new prostate cancer screening trial is set to get under way in the UK backed by £42 million from the government and Prostate Cancer UK.
The first-of-its-kind trial – called TRANSFORM – will use innovative screening methods like an MRI scan to detect prostate cancer, and it will see hundreds of thousands of men across the country participating.
Prostate cancer is the most common cancer in men in the UK and has no screening programme. It usually has no symptoms until it has grown large and may be more difficult to treat and, sadly, 12,000 men die of it every single year.
A way of effectively screening for prostate cancer could find these men before their cancer spreads and save their lives.
The trial has the potential to see new screening methods give more accurate results than the current blood tests, which can miss some cancers and often suggest prostate cancer when no cancer exists.
Crucially, screening could also spot the disease even when no symptoms are displayed.
Announcing the programme yesterday on Men’s Health Day, Health and Social Care Secretary Victoria Atkins said: “Cancer survival rates continue to improve in the UK, with the disease being diagnosed at an earlier stage more often. But more must be done.
Our hope is that this funding will help to save the lives of thousands more men through advanced screening methods that can catch prostate cancer as early as possible.
Laura Kerby, Chief Executive at Prostate Cancer UK, said: “12,000 men die of prostate cancer each year and it’s the most common cancer that doesn’t have a national screening programme.
“It’s about time that changed. That’s why we’re launching our biggest and most ambitious trial ever. It will finally give us the answers we need to develop a routine testing system and save thousands of men each year.
“Prostate Cancer UK’s unique focus and expertise made us the only organisation that could really deliver this paradigm-shifting trial, and we’re delighted that the government has backed our vision to revolutionise diagnosis.”
1 in 4 black men will develop prostate cancer – double the risk of other men. Therefore, to ensure the trial helps reduce their risk of dying from this disease, 1 in 10 men invited to participate will be black men. Participating men in the screening trial will be aged 50-75, with black men eligible from the lower age range of 45-75.
Men at higher risk of prostate cancer due to age and ethnicity will be recruited through their GP practice and invited to a screening visit.
More than 52,000 men are diagnosed with prostate cancer every year in the UK on average – that’s 144 men every day. Around 490,000 men are currently living with and after prostate cancer.
Sports broadcaster Steve Rider, 73, shared his prostate cancer diagnosis last month: “It was from talking with friends that I explored my risk of prostate cancer, I didn’t have any symptoms and wasn’t expecting to be diagnosed.
“Luckily, my cancer was all contained within the prostate, giving me the opportunity to have significant surgery to deal with it, but for too many men they are diagnosed late.”
£16 million will be invested by the government for the trial through the National Institute of Health Research and Prostate Cancer UK, who have led the development of the trial, will provide £26m. The trial is due to start in Spring 2024 with recruitment likely to begin in Autumn 2024.
The government has already opened 127 community diagnostic centres to offer quicker, more convenient checks outside of hospitals for conditions such as cancer, with over five million additional tests delivered so far.
The Major Conditions Strategy will also consider the prevention, diagnosis, treatment and management of conditions including cancer. The UK is already working with world renowned scientists to deliver new cancer vaccine trials and is growing the size of the specialist workforce.
Daniel Burkey, 58, from Yorkshire, was diagnosed with advanced prostate cancer in June 2021. He said: “Men need prostate cancer screening so that if we’ve got it, we can find out early enough to treat it and get rid of it. I got my diagnosis in my fifties, and the doctor told me the horrible news that it can’t be cured.
“It was an awful shock, and I still find it hard to accept that I’ll always have this disease, but I’m doing everything I can to control the cancer with chemotherapy, radiotherapy and two kinds of hormone therapy; one by injection, one orally.
“Things could have been different if I’d been tested routinely and caught it early enough. If the UK gets prostate cancer screening, so many lives will be saved. Knowing that this trial is going to find a way to do that makes me optimistic for other men.”
Professor Lucy Chappell, Chief Executive of the National Institute for Health and Care Research (NIHR), said: “New research into harnessing innovative screening methods is crucial in finding ways to detect this serious disease earlier, in the race against time to save lives.
“That’s why setting up this landmark new trial in partnership between NIHR and Prostate Cancer UK is so important.
“Together we can aim to generate high quality long-term evidence to benefit men at risk of developing this condition, and to inform those who plan and deliver NHS services of how best to test for the disease.”
In other measures announced yesterday:
Men’s Health Ambassador:
The government will be recruiting for the UK’s first ever Men’s Health Ambassador, we are inviting applications from anyone with an interest and expertise in men’s health.
The successful candidate, to be announced in the coming months, will be responsible for increasing awareness of certain conditions and health needs faced by men. They will help dispel taboos and stigmas and encourage more open conversations among men about their general health.
The role will be open for applications on GOV.UK shortly.
NHS Website Updates:
NHS England will deliver a host of important improvements and updates to pages on its website most used by men.
This will make it easier for men to both find and understand the help and support on offer for certain conditions.
Pages on issues like prostatitis, testicular cancer, and low sperm count will be updated in the coming months.
Men’s Health Task and Finish Group:
The government will establish the first Men’s Health Task and Finish Group.
Membership will include behavioural scientists, men’s health campaigners, experts and academics.
Together, they will help us identify how we can get more men to engage with their health, including a focus on better understanding male access to primary care services, such as GPs, and male uptake of the NHS Health Check.
