Breast Lump Self Exam
Alternate Names : Self-Examination of the Breast
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Breast cancer is easier to treat the earlier it is found. For that reason, many experts recommend that all women over age 20 perform a monthly breast self exam to look for new lumps and other changes. The self exam has limitations, however, and is NOT a substitute for regular breast examinations from your doctor or screening mammograms.
Have a health care provider show you how to do a self exam. Perform the exam 3-5 days after your period, when your breasts are the least tender and lumpy.
First, lie on your back to perform the manual exam. Raise your right arm, placing that hand behind your head. With the three middle fingers of your left hand, gently yet firmly press down using small, circular motions to examine the entire right breast. Then, while sitting or standing, examine your armpit (commonly skipped ) because breast tissue extends to that area. Gently squeeze the nipple, checking for discharge. Repeat the whole process on the left breast.
Each breast should take about two minutes to fully examine. Use one of the patterns shown in the diagram to make sure that you are covering all of the breast tissue. The up and down pattern may be the most thorough. You are feeling for any lump or thickness that stands out or feels new.
Although some women find it easiest to do the exam in the shower, when the skin is soft and wet, you are more likely to examine all of the breast tissue if you are lying down.
Next, stand in front of a mirror with your arms by your side. Look at your breasts directly AND in the mirror for changes in skin texture (such as dimpling, puckering, indentations, or skin that looks like an orange peel), shape, contour, or the nipple turning inward. Do the same with your arms raised above your head.
Discuss any changes you find right away with your doctor. It is helpful to know that all women have some lumps. That is why it is important to familiarize yourself with your own breast tissue at the same time in your monthly cycle.
See also breast lumps.
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