From Overwhelmed to Empowered: Making Sense of Your Breast Cancer Diagnosis

Hearing the words “You have breast cancer” can stop you in your tracks. Suddenly, your world is flooded with uncertainty and fear – and a thousand questions.  What does this mean? What happens next? Why Understanding Matters A breast cancer diagnosis can bring on feelings of doubt, disbelief, hopelessness, anger, fear, worry and grief [1]. On top of this emotional weight, you are faced with a maze of unfamiliar terms: stage, hormone receptor status, HER2, subtype and more.  It can feel overwhelming, but understanding your diagnosis is an important first step.  Each detail of your diagnosis helps your doctor create a treatment plan tailored just for you. The more you understand, the more grounded, involved and in control you may feel [2]. Research shows that patients who understand their illness are able to care for themselves better and are more engaged in their own healthcare and treatment [3]. What Does “Stage” Really Mean? After diagnosis, there may be further tests to find out the stage of the cancer—the size of the cancer and whether it has spread. Generally, the lower the number, the less it has spread. A higher number like Stage IV means the cancer has spread beyond the breast to other organs [4].  You might also hear the word ‘grade’. While stage describes how far the cancer has spread, grade describes how fast it may grow, based on how the cancer cells look under a microscope [6]. Understanding the Different Types of Breast Cancer When people hear the word “cancer”, chemotherapy often comes to mind. But not all breast cancers are treated the same way.  There are different subtypes of breast cancer, determined by the presence or absence of certain receptors, such as oestrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) [7]. This can affect how the cancer behaves and how it needs to be treated [7].  The three most common subtypes are: Hormone Receptor Positive Breast Cancer This is the most common subtype, with about 70% of breast cancers testing positive for progesterone or oestrogen, or both [8]. Endocrine therapy (specifically anti-hormonal therapy) is usually offered as part of treatment [9]. HER2 Positive Breast Cancer This subtype makes up around 15% to 25% of breast cancers [10]. These cancers have too much HER2 protein, which helps them grow [11]. Targeted therapies that specifically aim to block HER2 protein are used to stop the growth of these cancer cells [11]. Triple Negative Breast Cancer (TNBC) Triple negative breast cancer accounts for around 10% to 15% of breast cancers [12]. This subtype does not have PR or ER receptors and also does not produce much HER2 protein [12]. It tends to be more aggressive, growing and spreading faster [11]. While it can be harder to treat, recent advancements, especially in immunotherapy, are offering new hope  [13,14]. You’re Not Alone: Taking an Active Role in Your Care Understanding these terms can be helpful—but it’s just as important that the information is explained in a way that feels manageable and supportive.  Everyone absorbs information differently. What helps one patient feel in control might feel overwhelming to another. Studies show that both information overload and a lack of clarity can negatively affect treatment decisions and increase anxiety and distress [3].  It’s okay to have to ask for clarification or ask repeat questions. You deserve to feel heard and supported. Not sure what to ask? Here are some questions you could use as a starting point [16]: What type of breast cancer do I have? How big is the cancer? Has it spread to other organs? What is the stage or grade of my cancer? What does this mean? Will I need more tests before deciding on treatment? Will I need to see other doctors or health professionals? What are the hormone receptor status and HER2 status of my cancer? How will my cancer type affect my treatment options, long-term outlook and survival? Should I consider genetic testing?  Can I have a copy of my pathology report?  If I’m worried about costs and insurance coverage, who can help me? You might not remember or understand everything your doctor says right away—and that’s okay.  Each small piece of knowledge adds to your strength and clarity. Just by showing up to appointments and asking questions, you’re already taking brave steps forward and building the confidence to face what comes next. You may not have chosen this chapter, but you can shape the story. And you are never alone on the journey.  Click here to access essential, informative guides to support your breast cancer journey. Article contributed and reviewed by Dr Chan Ching Wan, Senior Consultant and Breast Surgeon at Solis Breast Care & Surgery  References: [1] Psychosocial impact at diagnosis and coping strategies among women with breast cancer-A qualitative study [2] American Cancer Society, After Diagnosis: A Guide for People with Cancer and Their Loved Ones [3] How to know what to know: Information challenges for women in the diagnostic phase of breast cancer [4] American Cancer Society, Breast Cancer Stages  [5] Solis Breast Care & Surgery Centre, Luma Women's Imaging Centre, My Breast Health Guide [6] National Cancer Institute, Tumour Grade [7] Solis Breast Care & Surgery Centre, Luma Women's Imaging Centre, Strength in Strides [8] Advances in Therapy for Hormone Receptor (HR)-Positive, Human Epidermal Growth Factor Receptor 2 (HER2)-Negative Advanced Breast Cancer Patients Who Have Experienced Progression After Treatment with CDK4/6 Inhibitors [9] American Cancer Society, Hormone Therapy for Breast Cancer  [10] Subtypes of Breast Cancer [11] National Breast Cancer Foundation, HER2 positive breast cancer [12] American Cancer Society, Triple-negative breast cancer [13] Hope and Hype around Immunotherapy in Triple-Negative Breast Cancer [14] Advances in immunotherapy for triple-negative breast cancer [15] Irish Cancer Society, Getting the most from your doctor's appointments [16] American Cancer Society, Questions to Ask Your Doctor About Breast Cancer
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Jessie J’s Breast Cancer Diagnosis: A Wake-Up Call for Early Detection

When singer-songwriter Jessie J recently revealed her early-stage breast cancer diagnosis, the news sent ripples of shock and support across the globe. At just 37, the pop star’s vulnerability and strength in going public with her diagnosis have struck a chord with many—especially women who may not yet prioritise their breast health. At Solis Breast Care & Surgery Centre (Solis) & Luma Women’s Imaging Centre (Luma), we stand with Jessie J and every woman navigating breast cancer. Her story is a powerful reminder that breast cancer doesn’t wait for the “right age”—and paying attention to changes in your body, no matter how small, is essential. Breast Cancer in Singapore: A Growing Concern In Singapore, breast cancer is the most common cancer among women, accounting for approximately 29.7% of all female cancer cases. About 1 in 13 women will be diagnosed with breast cancer in their lifetime [1]. While breast cancer is more common in women aged 50 and above, it can and does affect younger women—often when they least expect it. These facts make it clear: awareness and timely diagnosis are key. What Is Early Breast Cancer? Early breast cancer refers to cancer that is confined to the breast and possibly nearby lymph nodes, but has not spread to distant organs. It includes Stage 0 (Ductal Carcinoma In Situ or DCIS) and Stages I and II of breast cancer [2].   Often, early breast cancer does not cause pain or obvious symptoms, which is why many women are caught off guard. The good news? When detected early, breast cancer is highly treatable, with 5-year survival rates exceeding 90% [3].  Treatment may include surgery, radiation, and sometimes hormonal therapy or chemotherapy—depending on the cancer’s type and biology. But early diagnosis opens the door to more treatment options and better outcomes. Your Partners in Diagnosis and Care At Solis & Luma, we specialise in the diagnosis and management of breast conditions, offering trusted expertise when something feels off or when further investigation is needed. If you’ve been referred for additional imaging, found a lump, or received unclear results elsewhere, we’re here to help with clarity, compassion, and confidence. Our services include: Breast ultrasounds and 3D tomosynthesis for detailed, accurate imaging Multidisciplinary care with surgeons, sub-specialised breast radiologists and acclaimed pathologist all under one roof Biopsies and further investigations when clinically indicated, all within the same day Day Surgery Operating Theatre with Frozen Section Laboratory for rapid results for cleared cancer margins of breast samples taken during surgery. This enables timely and well-informed management decisions.  If You’ve Been Diagnosed, You’re Not Alone A breast cancer diagnosis can feel overwhelming—but you don’t have to face it alone. At Solis & Luma, we provide comprehensive care from diagnosis through to treatment planning. Our multi-disciplinary team—including breast radiologists, breast surgeons, pathologist and patient care coordinators—works closely with you to explain the findings, explore your options, and guide your next steps with compassion and clarity. We collaborate with trusted oncology partners to ensure you’re connected to the right care, quickly and seamlessly. You Deserve Certainty—and Support Jessie J’s story is a powerful call to action: don’t ignore what your body is telling you. If you notice a change, feel a lump, or have concerns about your breast health, reach out. We’re here to support you with specialist care and timely answers. 📍 Convenient central location, discreet and welcoming environment 🧑‍⚕️ Female-led team with decades of specialised experience 📞 Appointments available without long waits Let Jessie J’s story be the reason you take action—not just for yourself, but for the people who love you. Solis & Luma – Where clarity meets care. References [1] Singapore Cancer Registry Annual Report [2] American Cancer Society [3] Singapore Cancer Society
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Do Scars really matter in Breast Cancer Treatment?

For many women undergoing breast cancer treatment, one of the most significant concerns is the impact of surgery on their appearance, particularly when it comes to the visibility of scars. While the primary goal of breast cancer surgery is to effectively remove cancerous tissue, aesthetic considerations cannot be overlooked in a patient’s emotional and psychological recovery. So, do scars really matter for breast cancer patients? The answer is complex and deeply personal, as it encompasses both physical healing and emotional well-being. The Emotional and Psychological Impact of Scars The idea of scars can evoke strong emotional responses. For some, they symbolise survival and strength after a life-altering experience, while for others, they may bring feelings of loss, fear, or diminished self-worth. ‘Correspondingly, the first group of patients may be ambivalent about their scars or even embrace them; whereas a second group of patients prioritise reconstruction options that minimise visible reminders’, says Dr Wong Manzhi, Senior Consultant Plastic Surgeon at The Aesthetic & Plastic Surgery Clinic. Physical changes, including scars, can lead to feelings of anxiety, depression, and a reduced quality of life. Many women report that scars on their chest can be a constant reminder of their cancer diagnosis, affecting their self-esteem and sexual identity [1]. Importantly, emotional recovery is just as crucial as physical recovery. For many patients, the ability to feel “whole” again is tied not only to the success of the surgery but also to the way they perceive their bodies after the procedure. Scars, even when minimal, may alter how women feel about their body image and their sense of femininity. Scar Minimisation: The Role of Surgical Technique Not all scars are created equal. Advances in surgical techniques, such as nipple-sparing mastectomies (NSM) and keyhole surgeries, aim to reduce the visibility of scars while maintaining effective cancer treatment. Nipple-sparing mastectomies, for instance, have become increasingly popular, as they preserve the nipple-areolar complex (NAC) during surgery, resulting in a more natural post-operative appearance. For many women, the preservation of the NAC is a powerful tool in preserving their body image and reducing the emotional impact of the surgery. Additionally, keyhole surgeries—also known as minimal access surgeries—are another option that reduces scar size by using smaller incisions and specialised instruments like endoscopes and robotic systems. These procedures are gaining traction in breast cancer treatment, with studies showing that keyhole surgeries leave smaller scars (usually about 4 cm in length compared to 9 cm for traditional mastectomies) and promote faster healing [4]. Beyond these techniques, oncoplastic surgery – which combines cancer removal with reconstructive techniques – also plays a key role in minimising scarring while preserving or even enhancing the breast contour. Skilled oncoplastic surgeons strategically place incisions and use tissue rearrangement methods to achieve better cosmetic outcomes with less visible scarring. However, it’s important to note that these options aren’t universally applicable. Some patients may not be candidates for nipple-sparing, keyhole, or oncoplastic surgeries due to the size of their tumours or other medical considerations. In these cases, conventional mastectomy may still be the best option for ensuring complete cancer removal. Aesthetic and Functional Considerations: Why They Matter When considering mastectomy options, both aesthetic and functional outcomes play a crucial role in the decision-making process. For many patients, immediate breast reconstruction after mastectomy can help restore a sense of normalcy, offering both psychological and physical benefits. The location and size of surgical scars can play a significant role in the reconstruction process. For instance, a larger incision may provide more flexibility for more complex reconstruction procedures. It is essential to discuss your options with your breast surgeon to determine the best approach for your specific condition. The Global Perspective: Mastectomy Rates and Cultural Attitudes Mastectomy rates and cultural attitudes toward breast cancer surgery vary widely around the world. In countries like the United States, mastectomy rates have been rising, especially with the trend of preventive double mastectomies among women with a higher genetic risk, such as those with BRCA mutations. A 2017 study found that mastectomy rates in the U.S. have increased to 31% overall, with some regions seeing rates as high as 49% for double mastectomies [5]. In countries like Singapore, mastectomy rates have remained consistently high. A review conducted over a decade found mastectomy rates ranging from 43% to 59%. These numbers may reflect cultural attitudes toward breast cancer, where mastectomy is seen as a necessary and life-saving procedure. Despite the availability of equivalent alternatives like breast-conserving surgery, many women opt for mastectomies due to the perceived greater oncologic safety and the desire for peace of mind [3]. Looking Ahead: The Future of Scar Minimisation As technology continues to advance, it’s likely that breast cancer surgeries may become even less invasive, with smaller incisions and better healing outcomes. Robotic surgery, for example, holds the promise of greater precision, leading to even smaller scars and potentially faster recovery times. Additionally, the use of tissue engineering and regenerative medicine may offer new ways to minimise the appearance of scars and even restore lost tissue [2]. Furthermore, psychological support for breast cancer patients is gaining recognition as an integral part of treatment. Many hospitals now provide counselling and support groups specifically focused on body image, helping women navigate the emotional challenges that come with scarring and physical changes. These resources are critical for empowering patients to accept their bodies and find ways to heal emotionally and physically. Conclusion: Scars and the Journey of Recovery While scars may be a visible reminder of a challenging chapter in a patient’s life, they also represent survival and the strength it takes to overcome cancer. However, minimising the impact of scars, both physically and emotionally, is an important consideration in breast cancer treatment. With advances in surgical techniques, increased awareness of emotional support, and a growing focus on personalised care, the future looks promising for breast cancer patients seeking to heal not only their bodies but also their spirits. Ultimately, what matters most is that patients feel empowered to make choices that align with their values, health goals, and sense of self. Scars, though unavoidable in many cases, do not have to define their journey—how they heal and move forward does. Article reviewed by Dr Esther Chuwa, Senior Consultant and Breast Surgeon at Solis Breast Care & Surgery References: [1] Fobair, P., Stewart, S. L., Chang, S., & D’Onofrio, C. N. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15(7), 579-589. https://doi.org/10.1002/pon.1023 [2] Haidar, M., Saeed, H., & Elhassan, F. (2020). Tissue engineering and regenerative medicine for breast reconstruction. Journal of Stem Cells, 25(4), 351-360. [3] Lee, W. T., Tan, S. K., & Kwek, S. K. (2015). Mastectomy rates and breast cancer treatment trends in Singapore. Singapore Medical Journal, 56(8), 444-448. [4] Lin, Y., Wang, Y., & Tsai, C. (2020). Keyhole mastectomy: Outcomes and benefits. Breast Cancer Research and Treatment, 182(3), 567-575. https://doi.org/10.1007/s10549-020-05793-z [5] Veronesi, U., Boyle, P., & Goldhirsch, A. (2017). Mastectomy versus breast-conserving surgery in early breast cancer: Meta-analysis of trials. The Lancet, 373(9680), 569-577. https://doi.org/10.1016/S0140-6736(09)60256-7
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