Bohol Tribune
Opinion

Medical Insider – Dr. Florence Cepedoza MD. 

Saving Lives and Savings: Why Early Breast Cancer Detection Makes Financial Sense

    October is Breast Cancer Awareness Month, a global observance that helps people learn about the most commonly diagnosed cancer among women worldwide. A diagnosis can be frightening, and its financial and survival implications are strongly shaped by one key factor: the stage at which the cancer is detected. Comparing treatment costs and survival outcomes across early and advanced stages highlights an important truth: early detection can do more than provide a medical advantage; it can help ease financial burdens and save lives.

          Breast cancer begins when cells in the breast grow uncontrollably and form a tumor, which can often be felt as a lump. Most lumps are benign, but some are malignant and may spread if left untreated. The main risk factors are well established. Some can’t be changed, including being a woman, getting older, having a family history or inherited mutations such as BRCA1 and BRCA2, a personal history of breast cancer, and reproductive factors such as starting menstruation early or reaching menopause later. Other factors are within our control. Alcohol use, obesity, physical inactivity, long-term hormone replacement therapy, and smoking can all increase risk. Prevention efforts focus on maintaining a healthy weight, staying active, limiting alcohol, and avoiding smoking. If you’re at high risk, you can talk with your doctor about options such as preventive medication or surgery. Even with these steps, regular screening for early detection remains one of the most powerful tools in the fight against breast cancer.

          The financial case for early detection is compelling. In the Philippines, the cost of breast cancer treatment can vary considerably depending on the stage and hospital. Local cost data show that medical therapy cost approximately ₱984,000- 3,700,000++, surgery around ₱250,00-350,000++ and radiation therapy around ₱40,000-100,000. Prices vary because early detection significantly reduces costs. The Philippine Health Insurance Corporation (PhilHealth) has responded by substantially enhancing its Z Benefit Package for breast cancer patients across Stages 0 to 4. PhilHealth also now offers free outpatient cancer screening tests, including mammograms and breast ultrasounds, at accredited facilities, helping remove financial barriers to early detection. In government hospitals, several programs can reduce the cost to zero, especially if detected early. 

          The survival statistics tell an equally compelling story. According to the American Cancer Society, the five-year relative survival rate for breast cancer that is localized, meaning it hasn’t spread beyond the breast, is greater than 99%. When cancer spreads to nearby lymph nodes or tissues (regional), the survival rate is 87%. For distant stage cancer that has metastasized to organs such as the lungs, liver, or bones, the five year survival rate is 20-32%. This striking difference, from more than 99% to 32%, highlights how much the stage of diagnosis can affect prognosis and expected survival.

          Consider two women whose experiences highlight why early action matters. Maria, a 44-year-old teacher, noticed a small lump during a self-exam and promptly saw her doctor. A mammogram and biopsy confirmed Stage I breast cancer. She had a lumpectomy and radiation, continued working during treatment, and is now cancer-free, five years later. Her treatment costs were manageable, and her outlook was excellent. Lucia, a 52-year-old businesswoman, missed her mammograms for five years and hoped a lump would go away on its own. By the time she sought help, the cancer had spread to her lymph nodes and lungs, reaching Stage IV. She needed aggressive chemotherapy, surgery, and ongoing targeted therapy. Her treatment costs exceeded millions, her health declined, and her five-year survival outlook was around 32%. Maria’s story offers hope and shows the value of acting early. Lucia’s is a painful reminder of how much delaying care can cost.

          This October, let’s honor Breast Cancer Awareness Month by taking meaningful steps together. Take a moment for self-exams, schedule your mammogram, and encourage the women you care about to do the same. Early detection can save lives and help reduce the cost of treatment. A breast cancer diagnosis can be daunting, but finding it early can make a real difference. Know your risk, get screened, and keep hope close.

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