I think as IBCLCs we want to not "over alarm" moms .... until we get a case 
like this, and then we want to send every mother we see to the oncologist.  
I had a dear friend die at age 36 after a four-year battle with cancer.  The 
very first symptom:  breast refusal by her then-11-month-old.

It's all in how you present the info to the mom.  Imagine how terrifying it 
would be, to the mother of a toddler and a nursling, to have someone mention 
"the C word."  Be warm, be human: talk about how it is OK to fear the worst, 
but not OK to avoid seeing a doc to rule it out.  And be darn sure you have 
a list of *good* breast surgeons, familiar with the lactating breast, to 
refer this mother to.


Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA

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