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It was the abatement of 2012. I was 36 and arch over heels in love, active with excitement. I spent my canicule alive as a accepted appointment contributor for CNN in Washington, D.C., generally bushing in at the White House and on Capitol Hill, but additionally accoutrement added topics—like the agitation over aborticide rights, apprenticeship policy, or debt and arrears issues. I spent best of my additional time with my boyfriend, accident clue of the hours on continued walks through the city, abnormality about museums, affable together, activity to concerts and antic contest and planning for the future.

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When I went in for my anniversary gynecological assay that September, a mammogram was the aftermost affair on my mind. I was adolescent and physically fit. I ate able-bodied and had no history of breast blight in my family.

But my doctor—young, hip, and awful focused on blight prevention—believed in testing early. She recommended her patients get their aboriginal screening—what she alleged a "baseline mammogram"—at 35 or 36, beforehand than the recommendations of abounding accessible bloom organizations. She was not suggesting I activate regular, annual screening at that age, but anticipation it would be a acceptable abstraction to get a baseline analysis to be acclimated as a base for allegory later.

Years ago, the American Blight Society recommended this single, aboriginal mammogram, but that advocacy has back been dropped. Now, the American Blight Society (ACS) website says that “women amidst 40 and 44 at an boilerplate accident for breast blight accept the advantage to alpha screening with a mammogram every year. Women 45 to 54 should get mammograms every year.” Boilerplate risk, according to the ACS, agency you don’t “fall into high-risk categories such as abiogenetic mutation, able ancestors history, antecedent analysis with breast cancer, or radiation analysis to the chest as a adolescent woman."

DCIS, the attendance of aberrant beef central one or added milk ducts in the breast, is additionally alleged Stage 0. It’s non-invasive, acceptation it has not advance alfresco of the milk ducts to access added genitalia of the breast. You cannot die from DCIS itself, unless it develops into invasive breast blight and spreads.

I received chat about the analysis after-effects while on appointment in Baltimore, advertisement a adventure on abiding absence in schools. I bethink the moment well. I was continuing in a classroom, chatting with my ambassador back I got the call. I was stunned—unable to absolutely abstract what I had aloof heard. Back in D.C., back I had time to think, I cried. Back I aggregate the account with my boyfriend, there were added tears and hugs. He sprang into action, bond me up with a adolescent woman he knew who had been diagnosed with breast blight in her 20s, who offered admonition on the questions I would charge to ask as I advised my analysis options. That adolescent woman was the aboriginal of several survivors I leaned on in the advancing weeks.

Because of my about adolescence and the characteristics of my cancer, I absitively with my doctors to booty an advancing approach, in hopes of eradicating it for good. I underwent a bifold mastectomy a few canicule afterwards Thanksgiving and took a ages off from assignment to balance and absorb the holidays with my ancestors in Texas. According to the Mayo Clinic, mastectomy may be recommended for DCIS patients like me with a ample breadth of aberrant beef or assorted areas of aberrant cells, or for patients who don't appetite to abide radiation.

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Post-surgery tests showed there had been no advance to my lymph nodes—a absolute sign—and because claret tests taken anon afterwards my analysis had already bent I was not a carrier of the BRCA1 or BRCA2 gene mutations, which abode you at a college accident of breast and ovarian cancer, my aggregation of doctors and I assured that the anaplasty would be enough.

After a few months of recovery, I underwent about-face and agitated on with my life, accoutrement contest like the National Rifle Association conference, the Scripps National Spelling Bee, and advertisement on issues accompanying to race, poverty, and politics.

Fast avant-garde to the abatement of 2015. I was 39 and in the bosom of accoutrement the presidential primaries, traveling consistently for work, from boondocks halls with Jeb Bush in New Hampshire to GOP primary debates all over the country.

It was during these attack that I acquainted several pea-sized chastening in the aforementioned breast that had activated absolute for all-encompassing DCIS three years earlier.

Back in D.C., I had added tests. A abbreviate while later, I was in Las Vegas accoutrement addition Republican primary debate, continuing amidst aperture machines and roulette tables, back I arrested my voicemail and accustomed the account I had been dreading. I had become one of the one in eight women in the United States—about 12 percent—who would advance invasive breast blight over the advance of her lifetime.

My official diagnosis, this time, was amateur positive, invasive breast cancer. Amateur absolute agency the blight was absolute for estrogen receptors, progesterone receptors, and HER2. HER2 neu absolute cancers tend to be added aggressive, growing and overextension faster than added breast cancers. Therefore, clashing the aboriginal time I was diagnosed, anaplasty was not activity to be enough. Analysis would crave four and bisected months of chemotherapy and seven weeks of radiation.

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I was abhor to leave the attack aisle in the bosom of the better adventure of the year, but was advantageous to accept the abutment of my managers at work—including a bang-up who had himself been diagnosed with blight alert in his 30s. They abiding for me to absorb the abutting several months—and ultimately the blow of the year—working at the White House, bushing in for a contributor who had larboard to awning the antagonism of Donald Trump.

Every three weeks on Friday afternoon, I would go to the hospital for an infusion. A brace months afterwards chemo was over, I began the radiation treatments, alive up anniversary day to address the account at 6 or 7 a.m., again traveling to the hospital in the afternoon, bristles canicule a week.

While I absent the activity on the attack trail, there was still a acceptable accord of important account to awning in the final months of the Obama administration. While adeptness treatment, I catholic to Saudi Arabia, the U.K., Germany, Vietnam, Japan, and China for assorted summits, and I spent some 20 canicule in Hawaii accoutrement the president's Christmas vacation. So there was a argent lining to this difficult journey.

I'm best beholden for the abutment of my family, my friends, and my managers at work, and for the doctor who recommended I get buried early. Had I not, the DCIS, already all-encompassing at the time of my aboriginal diagnosis, would about absolutely accept spread, aloof as it did back a baby cardinal of annihilative beef were larboard abaft afterwards my aboriginal surgery. As a result, I adeptness accept apparent that I had added advanced, invasive blight several years later, potentially authoritative it added difficult to treat. My analysis at 36 led several of my accompany to get buried early, too.

But I apperceive that, in my case, accepting that mammogram at 36 helped me to act quickly, preventing the blight from developing added at that point, and putting me on a advance of added surveillance for the blow of my life, which helped ascertain the recurrence. Had no blight been found during that antecedent mammogram, I would accept had my abutting mammogram at 40.

My bulletin to women is that it is capital to be acquainted of how accepted breast blight is and to booty accomplish to ascertain and anticipate it, including because accepting activated aboriginal in appointment with their doctor.

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Athena Jones is a CNN National Correspondent.

Editor’s Note:

Regular mammography is awful recommended to ascertain breast abnormalities that could be cancerous. But there has been abundant altercation in contempo years about back women should alpha accepting screening mammograms and at what intervals. Best experts accede that approved screenings in boilerplate accident women adolescent than 40 is not all-important and could advance to apocryphal positives and added all-overs after affecting bloodshed rates. The accident of breast blight in this age accumulation is already actual low (approximately 7 percent of women with breast blight are diagnosed afore 40, according to the National Institutes of Health) and adolescent women additionally tend to accept denser breast tissue, which generally banned the radiologists’ adeptness to ascertain breast abnormalities on a mammogram.

That said, screening recommendations are aloof that—recommendations. It’s added important that patients apperceive their alone accident factors for developing breast blight and accept an advancing chat with their bloom affliction providers to accept a screening dieting that will accord them the arch adventitious of preventing and actual the disease, according to Laura Shepardson, M.D., analytic radiologist at Cleveland Clinic.

Special acknowledgment to Sandhya Pruthi, M.D., a breast blight specialist at Mayo Clinic in Rochester, M.N, who provided medical analysis for this piece.


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