There’s a reason that breast cancer awareness among the American public is high. According to the American Cancer Society, one in eight American women will be diagnosed with breast cancer in her lifetime. Every year, patients and their caregivers increase the disease’s visibility further through awareness efforts like wearing pink ribbons or walking to raise money for research.

Awareness, however, sometimes has a way of lulling us into a false sense of familiarity. In reality, breast cancer is much more complex than many people realize. Here are some of the most common breast cancer myths to watch out for:

1. There is only one type of breast cancer. Breast cancer is not simply one disease. It’s classified into different types based on the unique characteristics of an individual’s tumor, including the subtype, size, lymph node status and stage, among others. These factors directly affect what treatments are most appropriate, such as the type of surgery, whether or not to receive radiation, and which regimen of chemotherapy, hormonal therapy or targeted therapy is most likely to be effective.

2. A lump always means breast cancer. Finding a lump in your breast during a self-exam can be scary, but it doesn’t mean you have to panic. Around eight out of ten lumps are actually benign, according to the American Cancer Society. There are more than a dozen conditions other than breast cancer that may result in a lump, from cysts to hyperplasia to mastitis. Instead of jumping to conclusions, if you find a lump call your doctor for a breast exam.

3. Breast cancer always manifests with clear symptoms. Some breast cancers become apparent through swelling, pain, redness or a lump that can be detected by a self-exam. More often, though, cancers are symptom-free and are first detected by a mammogram or another imaging scan. The bottom line is that you can’t count on symptoms to alert you to the fact that you might have cancer. That’s why regular mammograms are so important if you are eligible.

4. If you don’t have a family history of breast cancer, you won’t get it. 5% to 10% of breast cancers are hereditary, based on gene mutations that can be passed down by your mother or your father. But parental genes are not a factor in most breast cancers, so even if you don’t have a family history it’s important to discuss breast cancer screening with your doctor.

5. Young people don’t get breast cancer. For adult women, there is no age that is “safe” from breast cancer, even if you’re otherwise healthy. According to the National Cancer Institute, although the median age at diagnosis is 62, about 1.8% of women diagnosed with breast cancer are under 35, and 10.5% are under 45. Even if you haven’t started regular mammograms, it’s always appropriate to discuss anything suspicious with your doctor.

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