|
Home About us Facilities Available Consultants Location Map Download Map Cashless Admissions Guidelines for patients Credits & Disclaimer Contact us
Specialities
ENT Gynaecology Keyhole surgeries Ophthalmology Paediatrics Infertility Pregnancy Delivery Breastfeeding Laparoscopy Pictures
| |
Breast Self
Examination [BSE]
The American Cancer
Society recommends beginning in their 20s, women should be told about the
benefits and limitations of BSE. Women should be aware of how their breasts
normally look and feel and should report any breast changes to a health
professional as soon as they are found. Finding a breast change does not mean
there is a cancer.
Women can notice changes by being aware of how their breasts normally look and
feel and by feeling their breasts for changes (breast awareness) or by choosing
to use a step-by-step approach, using a specific schedule to examine her breasts
(breast-self exam, or BSE)
Examining your breasts is an
important way to find a breast cancer early, when it's most likely to be cured.
Not every cancer can be found this way, but it is a critical step you can and
should take for yourself. No woman wants to do a breast self exam (or "BSE"),
and for many the experience is frustrating—you may feel things but not know what
they mean. However, the more you examine your breasts, the more you will learn
about them and the easier it will become for you to tell if something unusual
has occurred. BSE is an essential part of taking care of yourself and reducing
your risk of breast cancer.
Regularly examining her
own breasts allows a woman to become familiar with how her breasts normally look
and feel and can help her more readily detect any changes that may occur. Many
women naturally have some lumpiness and asymmetry (differences between the right
and left breast). The key to the breast self-exam is to learn how to find
changes in the breasts that persist over time.
While most women are aware of monthly breast self-examination, many still do not
know how to perform it properly. Performing BSE incorrectly can be almost as bad
as not doing the exam at all since it can give women a false sense of security.
Don't panic if you think you
feel a lump. Most women have some lumps or lumpy areas in their breasts all the
time. Eight out of ten breast lumps that are removed are benign, non-cancerous.
Breast
self-exams should be performed once each month beginning at age 20 and continue
each month throughout a woman’s lifetime.
The Best Time to Perform
Breast Self-Exam
Menstruating women: Hormonal changes due to the menstrual cycle may make
the breasts more lumpy or swollen. Women who are menstruating should perform
breast self-exam from a few days to about a week after menstruation (period) has
ended, when breasts are usually less tender or swollen.
Women who are no longer menstruating: should do their BSE on the same day
every month. Try to pick a day that is easy to remember, such as the first or
fifteenth of every month, and make that the day each month for breast self-exam.
Women using oral contraceptives: are encouraged to do their BSE each
month on the day they begin a new package of pills.
The Five Steps of a
Breast Self Exam
Step 1:
Begin by looking at your breasts in
the mirror with your shoulders straight and your arms on your hips.
Here's what you should look for:

* breasts that are their usual size, shape, and color.
* breasts that are evenly shaped without visible distortion or swelling.
If you see any of the following changes, bring them to your doctor's attention:
Words on this page Words on this Page
* nipple discharge
* dimpling, puckering, or bulging of the skin.
* a nipple that has changed position or an inverted nipple (pushed inward
instead of sticking out).
* redness, soreness, rash, or swelling.
Step 2:
Now, raise your arms and look
for the same changes.
Step 3:
While looking at the mirror,
gently squeeze each nipple between your finger and thumb and check for nipple
discharge (this could be a milky or yellow fluid or blood).
Step 4:
-
Lie down and place
your right arm behind your head. The exam is done while lying down, and not
standing up. This is because when lying down the breast tissue spreads
evenly over the chest wall and it is as thin as possible, making it much
easier to feel all the breast tissue.
-
Use the finger pads of the
three middle fingers on your left hand to feel for lumps in the right
breast. Use overlapping circular motions of the finger pads to feel the
breast tissue.
-
Be sure to feel all the
breast tissue: just beneath your skin with a soft touch and down deeper with
a firmer touch. Begin examining each area with a very soft touch, and then
increase pressure so that you can feel the deeper tissue, down to your
ribcage.
-
Repeat the exam on your left
breast, using the finger pads of the right hand.

Step 5:
Examine each underarm while
sitting up or standing and with your arm only slightly raised so you can easily
feel in this area. Raising your arm straight up tightens the tissue in this area
and makes it difficult to examine.

Mammography
|