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  • Breast self-exam - Animation

    Breast self-exam

    Animation

  • Breast self-exam - Animation

    If you're a woman, your doctor or gynecologist may have recommended that you examine your breasts every month to check for lumps. You might be wondering, why do I need to do a breast self-exam? Or, you might ask, how do I examine my breasts, and what exactly am I looking for? Well, let's talk about why, and how to examine your breasts. Why examine your breasts? Well, for one thing, it helps you get an idea of how they normally feel. Then if there's ever a problem, you'll be familiar enough with your breasts to spot it. For example, a lump on your breast could be a sign of breast cancer. Finding that lump could allow you to get checked out with a mammogram earlier than you might have done if you didn't do breast self exams. But, this is a two edged sword. Many expert groups no longer recommend routine breast self examination because the consequences of over treatment of benign or normal lumps may outweigh the benefits of early detection. Lumps lead to extra mammograms, which often lead to biopsies, and the biopsies turn out to be benign, or normal, in more than 90% of cases. But, not always. Some expert groups simply recommend breast self awareness. Ultimately, the choice is yours. If you are going to do breast self exam, the best day to do a self exam is about 3 to 5 days after your period ends. Your breasts are naturally less lumpy right after your period, so there's less of a chance that you'll mistake a normal bump for an abnormal growth. If you've already gone through menopause and your periods have stopped, just do your exam on the same day every month. Mark it on your calendar so you won't forget. To do the exam, lie on your back, as it's easier to feel any lumps or changes when you're lying down. First, put your right hand behind your head. Then, using the middle fingers on your left hand, gently but firmly press down, circling your entire breast. Make sure you cover the whole right breast. Squeeze your nipple gently. See if any fluid comes out. Now, sit up, and feel around your armpit. When you're done with the right breast, repeat the whole check on the left side. Next, stand in front of a mirror. With your arms down at your sides, look at both breasts. Check the shape of each breast. Look for any changes in the skin, like dimpling or puckering. Also see if your nipples now turn inward. Now, do the exact same check again with your arms over your head. After you've done a few breast self-exams, you'll become familiar with the look and shape of your breasts. At each exam, you're looking for anything different, like new bumps, changes in the texture of your skin, or discharge from your nipple. If you do notice that something has changed, don't panic, it could mean many different things. But, call your doctor as soon as you can so you can find out what's caused the change, and, if necessary, get it treated.

  • Breast lumps

    Breast lumps

    Less than one-fourth of all breast lumps are found to be cancerous, but benign breast disease can be difficult to distinguish from cancer. Consequently, all breast lumps should be checked by a health care professional. Imaging tests such as mammogram and ultrasound may be needed for evaluation.

    Breast lumps

    illustration

  • Causes of breast lumps

    Causes of breast lumps

    Most breast lumps are benign (non-cancerous), as in fibroadenoma, a condition that mostly affects women under age 30. Fibrocystic breast changes occur in more than 60% of all women. Fibrocystic breast cysts change in size with the menstrual cycle, whereas a lump from fibroadenoma does not. While most breast lumps are benign, it is important to identify those that are not. See your health care provider if a lump is new, persistent, growing, hard, immobile, or causing skin deformities.

    Causes of breast lumps

    illustration

  • Causes of breast lumps

    Causes of breast lumps

    There are many possible causes for lumps in the breast. Most breast lumps are benign, as in fibroadenoma, a condition that affects mostly women under age 30. Breast abscesses are usually incidental to breastfeeding.

    Causes of breast lumps

    illustration

  • Breast self-exam

    Breast self-exam

    Breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour, texture, or color of the breast and nipple. Next, a manual inspection while standing or lying down should be done to note any unusual lumps or thicknesses and check for discharge.

    Breast self-exam

    illustration

  • Breast self-exam

    Breast self-exam

    Monthly breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour or texture, and manual inspection in standing and reclining positions to note any unusual lumps or thicknesses.

    Breast self-exam

    illustration

  • Breast self-exam

    Breast self-exam

    Monthly breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour or texture, and manual inspection in standing and reclining positions to note any unusual lumps or thicknesses.

    Breast self-exam

    illustration

  • Breast self-exam

    Breast self-exam

    Monthly breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour or texture, and manual inspection in standing and reclining positions to note any unusual lumps or thicknesses.

    Breast self-exam

    illustration

  • Needle biopsy of the breast

    Needle biopsy of the breast

    A needle biopsy is performed under local anesthesia. Simple aspirations are performed with a small gauge needle to attempt to draw fluid from lumps that are thought to be cysts. Fine needle biopsy uses a larger needle to make multiple passes through a lump, drawing out tissue and fluid. Withdrawn fluid and tissue is further evaluated to determine if there are cancerous cells present.

    Needle biopsy of the breast

    illustration

  • Breast lump removal  - series

    Breast lump removal - series

    Presentation

  • Mastectomy - series

    Mastectomy - series

    Presentation

  • Breast self-exam - Animation

    Breast self-exam

    Animation

  • Breast self-exam - Animation

    If you're a woman, your doctor or gynecologist may have recommended that you examine your breasts every month to check for lumps. You might be wondering, why do I need to do a breast self-exam? Or, you might ask, how do I examine my breasts, and what exactly am I looking for? Well, let's talk about why, and how to examine your breasts. Why examine your breasts? Well, for one thing, it helps you get an idea of how they normally feel. Then if there's ever a problem, you'll be familiar enough with your breasts to spot it. For example, a lump on your breast could be a sign of breast cancer. Finding that lump could allow you to get checked out with a mammogram earlier than you might have done if you didn't do breast self exams. But, this is a two edged sword. Many expert groups no longer recommend routine breast self examination because the consequences of over treatment of benign or normal lumps may outweigh the benefits of early detection. Lumps lead to extra mammograms, which often lead to biopsies, and the biopsies turn out to be benign, or normal, in more than 90% of cases. But, not always. Some expert groups simply recommend breast self awareness. Ultimately, the choice is yours. If you are going to do breast self exam, the best day to do a self exam is about 3 to 5 days after your period ends. Your breasts are naturally less lumpy right after your period, so there's less of a chance that you'll mistake a normal bump for an abnormal growth. If you've already gone through menopause and your periods have stopped, just do your exam on the same day every month. Mark it on your calendar so you won't forget. To do the exam, lie on your back, as it's easier to feel any lumps or changes when you're lying down. First, put your right hand behind your head. Then, using the middle fingers on your left hand, gently but firmly press down, circling your entire breast. Make sure you cover the whole right breast. Squeeze your nipple gently. See if any fluid comes out. Now, sit up, and feel around your armpit. When you're done with the right breast, repeat the whole check on the left side. Next, stand in front of a mirror. With your arms down at your sides, look at both breasts. Check the shape of each breast. Look for any changes in the skin, like dimpling or puckering. Also see if your nipples now turn inward. Now, do the exact same check again with your arms over your head. After you've done a few breast self-exams, you'll become familiar with the look and shape of your breasts. At each exam, you're looking for anything different, like new bumps, changes in the texture of your skin, or discharge from your nipple. If you do notice that something has changed, don't panic, it could mean many different things. But, call your doctor as soon as you can so you can find out what's caused the change, and, if necessary, get it treated.

  • Breast lumps

    Breast lumps

    Less than one-fourth of all breast lumps are found to be cancerous, but benign breast disease can be difficult to distinguish from cancer. Consequently, all breast lumps should be checked by a health care professional. Imaging tests such as mammogram and ultrasound may be needed for evaluation.

    Breast lumps

    illustration

  • Causes of breast lumps

    Causes of breast lumps

    Most breast lumps are benign (non-cancerous), as in fibroadenoma, a condition that mostly affects women under age 30. Fibrocystic breast changes occur in more than 60% of all women. Fibrocystic breast cysts change in size with the menstrual cycle, whereas a lump from fibroadenoma does not. While most breast lumps are benign, it is important to identify those that are not. See your health care provider if a lump is new, persistent, growing, hard, immobile, or causing skin deformities.

    Causes of breast lumps

    illustration

  • Causes of breast lumps

    Causes of breast lumps

    There are many possible causes for lumps in the breast. Most breast lumps are benign, as in fibroadenoma, a condition that affects mostly women under age 30. Breast abscesses are usually incidental to breastfeeding.

    Causes of breast lumps

    illustration

  • Breast self-exam

    Breast self-exam

    Breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour, texture, or color of the breast and nipple. Next, a manual inspection while standing or lying down should be done to note any unusual lumps or thicknesses and check for discharge.

    Breast self-exam

    illustration

  • Breast self-exam

    Breast self-exam

    Monthly breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour or texture, and manual inspection in standing and reclining positions to note any unusual lumps or thicknesses.

    Breast self-exam

    illustration

  • Breast self-exam

    Breast self-exam

    Monthly breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour or texture, and manual inspection in standing and reclining positions to note any unusual lumps or thicknesses.

    Breast self-exam

    illustration

  • Breast self-exam

    Breast self-exam

    Monthly breast self-exams should always include a visual inspection, with and without a mirror, to note any changes in contour or texture, and manual inspection in standing and reclining positions to note any unusual lumps or thicknesses.

    Breast self-exam

    illustration

  • Needle biopsy of the breast

    Needle biopsy of the breast

    A needle biopsy is performed under local anesthesia. Simple aspirations are performed with a small gauge needle to attempt to draw fluid from lumps that are thought to be cysts. Fine needle biopsy uses a larger needle to make multiple passes through a lump, drawing out tissue and fluid. Withdrawn fluid and tissue is further evaluated to determine if there are cancerous cells present.

    Needle biopsy of the breast

    illustration

  • Breast lump removal  - series

    Breast lump removal - series

    Presentation

  • Mastectomy - series

    Mastectomy - series

    Presentation


Review Date: 11/6/2021

Reviewed By: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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