Introduction: a pressing health reality in Portugal
Breast cancer is the most common cancer affecting women in Portugal. On average, 13 new cases are diagnosed each day, and four women lose their lives to the disease daily. These figures reflect not only the scale of the challenge but also the urgent need for investment in prevention, early diagnosis, and comprehensive care that addresses both clinical and human aspects of the journey.
Understanding the disease: multiple subtypes, different challenges
Breast cancer is not a single disease. It comprises several subtypes with distinct characteristics and prognoses. The most concerning are the aggressive forms that progress quickly, such as triple-negative breast cancer, which often affects younger women and requires more intensive treatment approaches. These cases underscore the importance of early detection and ongoing research into new therapies that can improve outcomes.
Why are there more young women affected?
Shifts in lifestyle play a significant role: less healthy diets, rising obesity, sedentary behavior, and alcohol and tobacco use. Reproductive factors, including later age at first pregnancy and reduced breastfeeding, also contribute. Genetic mutations can be involved as well. The emotional and social impact is amplified for younger patients who are launching careers, building families, or pursuing personal plans that may be interrupted by a cancer diagnosis.
Breast cancer in men: a small but real presence
Male breast cancer represents about 1% of cases. Though rare, it is real—and its principal issue is underdiagnosis. Many men do not see themselves as potential patients and may dismiss early signs, delaying evaluation and treatment. Raising awareness about male breast cancer is essential to break stigma and improve vigilance among men.
The 45-year screening expansion: a pivotal step, but not the end of the road
Extending screening to age 45 is a crucial move because it can identify cases earlier in those already at higher risk. However, it is not sufficient on its own. Additional measures are needed, including public health education, promotion of healthy habits, and risk-based surveillance that considers family history and personal factors. Health literacy remains a powerful, underutilized tool in empowering people to seek timely assessment.
Treatment advances: steering towards personalized care
Recent years have brought notable progress in tailoring therapies to the biology of each tumor. Today, we can classify cancers more precisely and customize treatment plans, including targeted therapies and immunotherapy. Advances in surgical and reconstructive techniques are improving survival and, importantly, the quality of life for patients. Yet, the disease continues to impose a heavy toll, which makes psychological and social support an indispensable part of comprehensive care.
Amigas do Peito: humanizing care through practical support
Nonprofit groups like Amigas do Peito play a vital role alongside hospital care. Their work includes free accommodation for patients traveling from far afield, psychosocial support through counseling and peer groups, awareness campaigns for prevention and early diagnosis, and free screening in workplaces and communities. They also assist financially with prostheses for women facing economic hardship. In short, these efforts complement medical treatment and help ensure a more humane journey through cancer care.
Gala Solidária and ongoing challenges
Associations face ongoing resource challenges. They rely on fundraising events, such as the Gala Solidária, to sustain housing, counseling, screening, and advocacy programs. This year’s gala, held on October 24 at a prestigious Lisbon venue, is a key moment to raise funds and awareness, translating generosity into more support for those affected by breast cancer.
A clinician’s perspective: how advocacy reshapes medical practice
For many clinicians, patient advocacy efforts widen the lens of care. Working with associations changes how doctors listen, communicate, and tailor treatments to fit the life circumstances of each patient. The experience highlights that medicine is not only science but also empathy and humanity, informing how care is delivered inside and outside the hospital walls.
Conclusion: a call for continued action
The current reality of breast cancer in Portugal demands sustained investment in prevention, education, early detection, research, and humane support systems. By combining medical advances with community-based programs, Portugal can improve survival, reduce suffering, and build a more resilient, compassionate care landscape for all those affected.
