Breast cancer is one of the most common cancers among women, yet despite how often we hear about it, misconceptions remain. Knowing what’s true—and what isn’t—can help you better understand your risk, recognize potential warning signs and make informed decisions about screening.

“Knowledge is one of the most important tools we have when it comes to breast health,” said Amy Russell-Parliman, MHA, RT(R)(CT)(MR), Senior Administrative Director of Diagnostic Imaging at Garnet Health. “Knowing your risk, understanding what changes to look for and keeping up with recommended screenings can make a meaningful difference, especially when it comes to finding breast cancer early.”

Here are five common myths worth clearing up.

Myth #1: If breast cancer doesn’t run in my family, I’m not at risk.

Family history can increase breast cancer risk, but it is only one risk factor. Age, breast density, certain genetic changes and other factors can also affect one’s chances. Some people diagnosed with breast cancer have no known risk factors. Talk with your healthcare provider about your personal and family history, as well as the screening schedule that’s right for you.

Myth #2: I would know if I had breast cancer because I’d feel a lump.

A lump can be a warning sign, but breast cancer doesn’t always cause one. Other changes can include swelling or thickening of the breast, skin dimpling, nipple changes or discharge, and changes in the size or shape of the breast. Some breast cancers cause no noticeable symptoms at all, which is one reason that regular screening is so important.

Myth #3: If my mammogram is normal, I don’t need to worry about breast changes.

Mammograms can detect breast cancer before it is large enough to feel, but no screening test detects every cancer. If you notice a new or unusual breast change—even after a normal mammogram—contact your healthcare provider.

“A mammogram is an important tool for detecting breast cancer early,” Russell-Parliman said. “But women should also know what is normal for them and speak with their provider if they notice something new or different.”

Myth #4: Getting called back after a mammogram means I have cancer.

A callback can be frightening, but it does not mean you have breast cancer. Sometimes additional images are needed because an area wasn’t clear or the radiologist wants a closer look. Less than 10% of women called back for additional testing are ultimately found to have cancer. The important thing is to complete the recommended follow-up.

Myth #5: Breast cancer screening is something I can put off if I feel healthy.

Early-stage breast cancer often has no symptoms. Mammography can identify changes before they can be felt, when cancer may be easier to treat. Talk with your healthcare provider about when you should begin screening and how often you should get a mammogram.

Garnet Health offers 3-D mammography in Middletown and Harris, making screening accessible to the communities we serve. 3D mammography helps find more breast cancers than traditional 2D mammography, giving you greater confidence in your screening. If breast cancer is diagnosed, patients can also receive high-quality, expert care throughout their journey. Garnet Health's Patient Navigation Program helps patients schedule appointments, find resources and get answers to questions, while in-person breast cancer support groups at Garnet Health Medical Center – Catskills and Garnet Health Medical Center are also available. Support groups can be found by visiting garnethealth.org/breastcancersupportgroup

“From screening and diagnosis to treatment, recovery and survivorship, we want our patients to know they don’t have to navigate breast cancer alone—or travel far from home to receive the care and support they need,” Russell-Parliman said.

For help scheduling a mammogram, call Garnet Health Medical Center, Middletown: 845-333-7900 or Garnet Health Medical Center - Catskills, Harris and Callicoon: 845-333-8378.