brst self examination research
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Breast Self Exam
Detects themajority of breast
abnormalities Potentially life-
saving
Monthly exam, atend of menses
Start in front ofmirror
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Why Do a Breast SelfExam?
Be Safe, Be Sure
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It is easy to do and the more you do it, the betteryou will get at it.
When you get to know how your breasts normallyfeel, you will quickly be able to feel any change,and early detection is the key to successfultreatment. A breast self-exam could save your
breast - and your life.
Most breast lumps are found by womenthemselves, but in fact, most lumps in the breast
are not cancer.
Breast Self Exam
Information
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When to do a Breast Self-
Exam
The best time to do breast self-exam isright after your period, when breasts are nottender or swollen. If you do not have regularperiods or sometimes skip a month, do it on
the same day every month.
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About Your Breast Self
Exam
Remember, you are looking for
changes, so you need to collect amonth or two of data before you really
understand what change looks or feels
like. You must also realize that 9 out ofevery 10 breast lumps found, thank
heavens, are not cancerous.
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There are two basicsteps to conductinga Breast Self Exam
(BSE): first youlook at yourbreasts, and then
you touch them.
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Inspect for:
Skin changes
Redness
Visible bumps
Nipple crusting
Symmetry
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SELF BREASTEXAMINATION
Once every month starting atthe age of 20
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BREAST SELF EXAMINATION
There are two parts to theBSE
Looking
Feeling
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Lump
Any new lump
or hard knotfound in thebreast orarmpit.
Any new lumpor thickeningthat does not
shrink or lessenafter your nextperiod.
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Change in Skin Color, Size or Texture
Any change insize, shape orsymmetry ofyour breast
Any thickeningor swelling ofthe breast
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Skin Dimpling
Any dimpling,
puckering orindention in thebreast
Dimpling, skinirritation orother change inthe breast skin
or nipple
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Changes in Nipple
Redness orscaliness of thenipple or breastskin
Nipple tendernessor pain
Nipple retraction;
turning or drawinginward or pointingin a new direction
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Nipple Discharge Any fluid coming
from your nipplesother than breastmilk, particularlyif the discharge is
bloody, clear andsticky, dark oroccurs withoutsqueezing your
nipple
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Feeling
Examine each breast separately
Use pads of fingers not the tips
Examine the armpits
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FeelingFinger Use
Use the pads ofyour middle threefingers to feel the
texture of yourbreast.
Your finger padsare the top third ofeach finger, notthe tips.
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FEELING
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Patterns
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The Tail of the Breast
Breast is notperfectly round.
A Tail of breasttissue normallyextends into thearmpit.
Make sure to feel forlumps in thatportion of thebreast.
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Now Check the Other Side
Follow samemaneuvers.
Raise the armabove your head.
Feel for lumps ormasses.
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If you find something in
your breast... Dont panic.
Most (90%) ofbreast lumps arebenign.
Do see a physician
or other qualifiedhealth careprovider right away.
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Heres what you might find
during your breast exam: Tender, lumpy breasts
This is usually part of your regular menstrual
cycle due to swelling because you retain morewater.
Overall small lumps and a bumpy/grainytextureIf this texture is found on both breasts in thearea around your nipples and the upper and
outer parts of your breasts, you might onlyhave fibrocystic breasts.
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Single lump that feels like an ovaland is hard on the outside, squishy
on the insideThis may be a cyst. You can usually movea cyst under the skin and they sometimesproduce a dull pain. A cyst is a fluid-filled
sac that can vary in size from a pea to ahalf-dollar. Cysts appear most often inwomen aged 35 to 50 and increase asmenopause approaches. They are benign.
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Single, solid lump that feels roundlike a small rubber ball and can bemovedThis may be a fibrodenoma, a benignand painless tumor made up ofconnective tissue and other cells. Afibrodenoma may vary in size from a
marble to a lemon. They are morecommon in women in their late teensand early 20s or older women onHormone Replacement Therapy.
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Overall distinct large lumpsThese may be just exaggerated lumpiness,
called pseudolumps. These may be caused byscar tissue, a clump of fat cells, or an abscess(pus-filled sac). Sometimes nursing womenexperience mastitis, when bacteria enters thebreast from dry cracks in the skin.
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Single, solid lump that can NOT bemovedLook for hard, irregular borders to the lump.Also, determine if the lump appears in only
one breast and if it remains the same sizethroughout your menstrual cycle. Note thatthickened or dimpled skin is a sign of a lumpthat can NOT be moved (other benign lumps
are movable because they are filled with fluidor lumps of fat). If all of the above occur,these are symptoms of breast cancer. Get itchecked out immediately.
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Sores or scaly skin
An open, itchy sore could just be a
simple skin irritation (like from a newlacy bra that's cutting into you, or from
switching your laundry detergent).However, in a few women, this could
be a sign of Paget's disease, a rare
form of breast cancer.
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Discharge or puckering of thenipple
Persistent clear or bloody dischargefrom one nipple may indicate cancer inyour breast ducts. Also, an inverted or
puckered nipple (e.g., pulled back intothe breast) may be a symptom ofbreast cancer.
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If you find that you exhibit anycharacteristics that are abnormal orconcern you (aside from normal
menstrual lumpiness or retention ofwater), don't screw around. Go seeyour physician immediately for a clinical
breast exam and other tests. While someof the abnormalities mentioned areusually benign, nothing is 100% and it'sgood to keep your doctor in the loop.
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