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Topanga’s wisdom: from ‘adapting to change’ to embracing early detection

“I know you want to keep everything the same. But life is change, and you have to adapt to it.” This iconic line from Topanga Lawrence, portrayed by Danielle Fishel, was a memorable piece of wisdom in the popular 2014 TV show Girl Meets World, a spinoff of the 90s hit Boy Meets World. Unfortunately, this week, fans of both shows were faced with their own moment of change as they learned of Fishel’s breast cancer diagnosis.

Fishel recently discussed her diagnosis on her podcast Pod Meets World, emphasizing the crucial importance of yearly mammograms, X-ray screenings for breast cancer. She revealed that her early detection was attributed to not missing her scheduled appointment. “The only reason I caught this cancer when it is still stage zero is because the day I got my text message that my yearly mammogram had come up, I made the appointment,” she explained.

Regular screening for breast cancer is vital as it can detect the disease early when treatment is more effective. Updated guidelines from the U.S. Preventive Services Task Force now recommend that women at average risk begin mammogram screening at age 40, instead of waiting until 50. This new guidance builds on the 2016 recommendations, which advised women between 40 and 50 to make individualized decisions about screening with their healthcare providers. The update reflects recent research, which includes more studies on breast cancer in younger women.

Fishel was diagnosed with Stage 0 DCIS (ductal carcinoma in situ) breast cancer. According to the Mayo Clinic, DCIS is a “very early form of breast cancer” where “cancer cells are confined inside a milk duct in the breast” and have not yet spread into surrounding tissue. Risk factors for DCIS include genetic mutations (like BRCA1 and BRCA2), family history of breast cancer, early menstruation or menopause, lack of full-term pregnancies, being physically inactive, overweight or obese, use of oral contraceptives or hormone replacement therapy, previous radiation therapy, and alcohol consumption.

She reassured her listeners, “They found it so, so, so early that I’m going to be fine. I hope it will encourage anyone to get in there [and get checked]. If it’s time for your appointment, if you’ve never had an appointment before, get in there. If you have to find out you have cancer, find out at stage zero if possible.”

Fishel shared that she had always thought she would “suffer in silence” if diagnosed with cancer, but was inspired by author Glennon Doyle to speak publicly about her experience and raise awareness. She mentioned that she faces significant decisions regarding treatment options and may need to pause some projects while managing her health.

The key takeaway from Danielle Fishel’s journey is the importance of regular health check-ups. As she wisely put it, “You’re going to meet the world now, and I don’t know if the world is ready for you.” Don’t let the world miss out on knowing you because of your own neglect. Prioritize your health and schedule those important screenings.

Photo Courtesy of National Breast Cancer Foundation