An article on Self Breast Examination: Myths and Facts, by Dr. TPS Bhandari, Consultant Surgical Oncology & Breast Surgery, Apollo Health City, Hyderabad
Mar 17, 2022
MYTHS AND FACTS ASSOCIATED WITH SELF BREAST EXAMINATION
Self Breast Examination (SBE) is a procedure followed to be aware of own breast and for noticing associated changes that might occur periodically.
SBE is an important screening tool especially when combined with regular physical examinations by physician, routine mammograms.
SBE is a convenient and no cost tool that can be performed regularly and at any age.
SBE helps in women being familiar with how their breasts normally look and feel and should report any changes to a health care provider right away.
Myths associated with SBE
ALL BREAST LUMPS ARE CANCEROUS – Not all breast lumps are cancer.
BREAST CANCER IS PAINFUL – Most breast cancer lumps are painless and become painful only in advanced cases.
DAILY EXAMINATION IS REQUIRED – Breast normally undergoes periodical changes due to fluctuating hormonal levels during the menstrual cycle.
LARGER BREASTS RESULT IN INCREASED CHANCES OF BREAST CANCER -
Protocol to be followed for SBE includes
1. Initial demonstration by physician to be aware of the correct procedure to follow.
2. Choose the time of examination based upon your menstrual cycle – Ideally one week after the period.
3. SBE includes both visually inspecting and hand examination of the breasts.
4. Visual inspection includes looking for changes in the skin, nipple abnormalities, and irregularities in size, shape, symmetry.
5. Visual inspection is done by standing in front of mirror and visualizing all aspects of the breast including the lower aspect of breast fold.
6. Hand examination of breast includes looking for areas of pain, lump and changes in the nipple.
7. Hand examination of breast should be performed in lying down position and also can be done during a shower.
STEPS TO BE FOLLOWED FOR BSE –
1. Visualise the breasts by standing in front of mirror with shoulders straight and arms on hips – Notice for skin changes, changes in size shape and symmetry along with nipple changes.
2. Raise your arms and look for the same as described as above.
3. Look for nipple discharge.
4. Examination of breasts on lying down by feeling the breast from front to back and in circular motions to notice for lump and pain.
5. Repeat the examination in sitting position.
WHAT TO DO IF YOU FIND A LUMP? DO NOT PANIC – most women have lumps/ lumpiness at all times.
CONSULT A DOCTOR FOR FURTHER EVALUATION.
Lifestyle modifications those are essential to be inculcated to reduce the incidence of breast cancer are:
150-300 minutes of moderate intensity and 75- 150 minutes of intense activity per week helps in reducing the incidence of breast cancer by 20-40%.
Maintain an ideal weight and consuming fresh nutritious food is known to reduce the incidence of breast cancer by avoiding obesity.
Avoid the consumption of Alcohol and Smoking.
Encourage breast feeding for adequate duration; each year of breast feeding helps reduce the incidence of breast cancer by 4%.
Early child bearing is protective against breast cancer.
Avoid usage of hormone replacement therapy as it is known to increase the incidence of breast cancer.