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Thursday, September 18, 2014
Cancer experts say that breast self-exams can be an important - and easy - way for women to detect potentially cancerous breast masses, and avoid becoming one of the more than 40,000 women who die each year from breast cancer.
According to the American Cancer Society, more than 211,000 new cases will be diagnosed this year. Although increased public awareness and education has reduced the number of women dying from breast cancer, the risk of developing the disease is still one in seven.
Breast self-exams are effective in detecting 90 percent of all breast masses, but not all these masses will be cancerous. By becoming familiar with the contours and feel of their breasts, it's easier for women to proactively check for abnormalities that may indicate breast cancer.
Seventy-five percent of cancerous breast tumors are found in two areas: behind the nipple (34 percent) and in the outer quadrant of the breast near the armpit (41 percent). Any abnormality detected in the breast, nipple, skin or armpits should be examined by a physician.
Women should perform a monthly breast self-exam starting at age 20 to check for lumps or tissue thickenings - preferably several days after her menstrual cycle ends - and have a clinical breast exam every three years. Women aged 40 or older should have an annual clinical breast exam and mammogram, an X-ray of the breasts and mammary glands used to screen for breast problems.
Consistency is key, so it is suggested that you choose a day that is easy to remember, like the first day of the month or a birth date. A three-step approach is recommended for performing a thorough breast self-exam:
Step one is to look for surface changes. Standing undressed from the waist up, visually inspect the breasts for changes in appearance, size, position or shape. You should also examine the border underneath the breasts and check the nipple for discharge. Suspicious changes may include skin puckering, dimpling, discoloration and soreness.
Repeat visual inspections - from both forward-facing and side angles - with your hands at your side, on your hips and behind your head.
Step two involves feeling for unusual masses under the skin. Using soap and the flat part of your fingers to create a smooth surface, feel for lumps and thick tissue masses in your underarm and collarbone areas. Start at the bra line and continue moving up until you reach the collarbone.
In this final step, lie down and place a small pillow under your shoulder, with the corresponding hand behind your head. Thinking of the breast as a clock, place your fingers flat against the upper portion of the breast and continue around the "clock face" until you've made a full rotation. After the first rotation, move one inch toward the nipple and repeat the process until you've examined the whole breast.
Lastly, place your flat fingers on top of the nipple and feel beneath it for any changes.
This article originally appeared in UC Health Line (10/4/05), a service of the University of Cincinnati Academic Health Center Public Relations Department and was adapted for use on NetWellness with permission, 2006.
Last Reviewed: Sep 19, 2006
Zeina Nahleh, MD
College of Medicine
University of Cincinnati