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Some studies suggest cancer lumps are often painless, while other studies indicate that pain can be a symptom in some cases.
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One of the critical factors contributing to late reporting of breast cancer in low- and middle-income countries is the lack of awareness that early cancer lumps are often painless. Studies indicate that up to 98% of women in these regions are unaware that a painless lump could be an early warning sign of breast cancer. This misconception leads many women to ignore a painless lump, presuming it to be harmless, and thus delaying seeking medical attention. Raising awareness about the painless nature of early cancer lumps could significantly reduce breast cancer mortality in these areas.
In a study reviewing symptoms and signs of operable breast cancer in 1205 women, it was found that pain as a presenting symptom was rare, occurring in only 5% of cases. However, when specifically questioned, 33% of women admitted that their lump was painful. This indicates that while pain is not a common initial symptom, a significant number of women do experience pain associated with their breast cancer lumps.
A systematic review and meta-analysis examining the prevalence of pain in cancer patients revealed that pain is a common symptom across different stages of cancer. Pain prevalence rates were found to be 39.3% after curative treatment, 55.0% during anticancer treatment, and 66.4% in advanced, metastatic, or terminal stages of the disease. Additionally, moderate to severe pain was reported by 38.0% of all patients. This highlights that while early cancer lumps may often be painless, pain becomes a more prevalent and severe symptom as the disease progresses.
In summary, early cancer lumps, particularly in breast cancer, are often painless, which can lead to delayed diagnosis and treatment. However, as cancer progresses, pain becomes a more common and severe symptom. Awareness campaigns emphasizing the painless nature of early cancer lumps could play a crucial role in early detection and reducing mortality rates, especially in low- and middle-income countries.
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