Oct 6, 2026 · 21 min · 8 segments
Decoding Risk: The New Rules of Breast Cancer Screening Guest: Dr. January Lopez, MD, CCD, Director of Breast Imaging, Hoag Breast Center, Hoag Women's Heath Institute and Hoag Family Cancer…
January LopezGuestAnushaHostSo Dr. Lopez, and you know this better than anybody, you see this every day, medical anxiety is really high, especially with so much that women are juggling.
And when it comes to breast cancer screening in particular, I see in clinic heightened states of anxiety, even when you just mention the word breast cancer.
So I'd love for you to talk to us about ways that women can manage this if they are just feeling this sense of debilitating dread and fear when it comes to screening, and how can we kind of pivot our mindsets from fear to this is a beautiful act of self-care that we are doing for ourselves?

I mean, I think fear is understandable, right? Breast cancer is a scary thing.

Doing the screening, it, it doesn't cause a diagnosis to be there, right? It just reveals what's there.

So if there's breast cancer, being able to find it at a point when it's small, you can't feel it, it's, the treatments work best and it's curable, that's so important, you know? 'Cause how, how else would you be able to diagnose breast cancer if you develop it? Because none of us can control whether we're gonna get it or not, even though there are things we could do to modify our risk.

So months, years later when you can feel it and it's a lump in the breast, you know, one out of eight of us will develop breast cancer, so that's, that's where the fear lies, right? The fear shouldn't be in just doing the screening itself.
And I think that's part of the issue.
'Cause like you just said, it's not that the breast cancer isn't there.
It's that a screening actually enables us to reveal it to you so you can actually do something about it.
And that's such an important point, but I think that, you know, people are afraid when it comes to things like genetics and family history, which women feel that they don't have much control over.
So Dr. Lopez, and you know this better than anybody, you see this every day, medical anxiety is really high, especially with so much that women are juggling.
And when it comes to breast cancer screening in particular, I see in clinic heightened states of anxiety, even when you just mention the word breast cancer.
So I'd love for you to talk to us about ways that women can manage this if they are just feeling this sense of debilitating dread and fear when it comes to screening, and how can we kind of pivot our mindsets from fear to this is a beautiful act of self-care that we are doing for ourselves?

I mean, I think fear is understandable, right? Breast cancer is a scary thing.

Doing the screening, it, it doesn't cause a diagnosis to be there, right? It just reveals what's there.

So if there's breast cancer, being able to find it at a point when it's small, you can't feel it, it's, the treatments work best and it's curable, that's so important, you know? 'Cause how, how else would you be able to diagnose breast cancer if you develop it? Because none of us can control whether we're gonna get it or not, even though there are things we could do to modify our risk.

So months, years later when you can feel it and it's a lump in the breast, you know, one out of eight of us will develop breast cancer, so that's, that's where the fear lies, right? The fear shouldn't be in just doing the screening itself.
And I think that's part of the issue.
'Cause like you just said, it's not that the breast cancer isn't there.
It's that a screening actually enables us to reveal it to you so you can actually do something about it.
And that's such an important point, but I think that, you know, people are afraid when it comes to things like genetics and family history, which women feel that they don't have much control over.
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