“…In quantitative and qualitative studies to date, a number of potential risk factors for delayed presentation of breast cancer have been identified 1,2,4,[7][8][9][10][11][12][13][14][15][16][17][18][19] , including older age at diagnosis 4 , fear of cancer 11,13,14 , symptom other than a breast lump 2,9,10,14 , competing life demands 13 , belief in alternative therapies [13][14][15][16][17][18][19] , lower level of education 17 , spiritual beliefs 17,19 , and African American or Hispanic descent 17 . Other factors include failure to disclose concerns to a friend or relative 2,9 , associated anxiety or depressive symptoms 19 , reservations about seeing the family physician, and presenting to the family physician with a non-breast problem 2 .…”