A BREAST cancer survivor is often referred to as someone who previously had cancer, but no longer shows signs of the disease. GUEST COLUMN:Mackintosh Chigumira However, it can as well refer to an individual living with, through and beyond cancer. This means cancer survivorship begins from a point one is diagnosed with cancer. Breast cancer has been so much associated with pain, psychological trauma and in worst cases scenarios, death. However the big question still remains, can one can survive the severity of this most dreaded disease? In exploring these possibilities, there are quite a number of factors which are intertwined to define the fate of the victim. Having a clear understanding of this disease on how it begins, how it grows attacking other surrounding body organs and also when exactly it can completely get out of control becomes key. This means that there is nothing odd that can happen on an individual’s body which can be ignored as it can define one’s fate. The following key elements are important in the cancer fight: Cancer awareness There are symptoms which have been noted to be common among individuals during the onset of cancer from clinical studies and observations. This formulates the basis of what information one must have about cancer and it becomes the push factor to quickly seek medical attention for further clarification and diagnosis. Knowledge is power and that is the reason why advocacy on “Cancer literate Zimbabweans” is on the rise. When cancer is diagnosed at its early stages it becomes easy to manage or even eradicate and this will determine one’s survival. Many regional and local organisations, and trusts, including Talk Cancer Zim, are tirelessly pushing the agenda to save the nation through imparting the necessary information to the general populace. It is very crucial that this agenda be driven especially at this point and time where focus has been shifted towards the COVID-19 pandemic. The public must as well be watchful and alert not only for the symptoms of the COVID-19, but also of this complex disease. Early treatment The secret behind one’s survival after cancer diagnosis is seeking the treatment earlier. Though some cancers can be so complex even at their early stages, at least they will be easier to manage. The common treatment modalities in cancer management in Zimbabwe are surgery, radiotherapy and chemotherapy. All of these modalities can be used to complement one another for an effective treatment outcome. Each step of treatment can be so traumatising since these treatments can be so radical and burdensome to an already stressed cancer patient. Apart from the stress of being diagnosed with cancer, failure to get treatment in time for a number of reasons can destroy a patient’s spirit and reduce their chances of survival. For example, many people in the country cannot afford the high fees required for surgery and the disease progresses or forces individuals to try alternative medicine. Though radiotherapy can be affordable at government-run radiotherapy centres, 80% of pati