Monthly breast self-exam involves viewing and testing the entire breast and their environment. The order of steps in the self examination is not important, but it is important to perform each step. Women during examination should use pads, not the peaks, the three middle fingers. Time required for self-examination is individual, depending on the size and shape of breasts, but it usually takes 15 to 20 minutes. Self-examination should be done in the same way every month, paying attention to the entire breast and armpit, and remember that breasts look like and what is the sense of touch. Some women even water and a small diary of their monthly self-examination.
Forms to be observed during self-examination
There are three different patterns of self-examination:
The vertical or "up - down" form, covering the entire breast.
Spiral or annular pattern, making concentric circles, starting from the outer edge of the breast to the nipple.
Wedge pattern, inward and outward.
A woman needs to use three different strengths of pressure (low, medium and strong) and a small "massaging" circles in touching breasts, using the above forms. We should raise the fingers touching the chest during the accident would not have missed any part of the breast.
Examine their work in a safe place, where nobody bothers you. This will allow you to fully concentrate on the examination. Self-examination is done in a warm room or bathing in the hot water to the breast tissue was completely relaxed and easier to palpation. Cold or a cold shower cause contraction of the breast and nipple and make it difficult to review.
Some women put baby powder or talc on the breast skin to reduce friction and allow the fingers to move more easily through the skin. Other self doing warm water instead of in front of the mirror. Nasapunjenim toes to reduce friction and facilitate the recognition of changes in their breasts.
Each node that faucet for a long time at the breast or other changes in the breast and the nipple should be reported doctor as soon as possible.
Regions to be examined with particular care
It is important that a thorough review the entire area around the breast and the breast of every month:
outside: armpit to collar bone and under the breast
in the middle: the very breast
inside: the region of the nipple
Cancers are more common in certain regions of the breast. About half of cancer occurs in the outer upper part of the breast, closer to the armpit. Some doctors call this part of the "tail cancer" and insist that the women examined with extreme care.
The approximate percentages of occurrence of breast cancer in each region:
41% in the upper outer quadrant
14% in the upper inner quadrant
5% in the lower inner quadrant
34% of the central region behind the nipple
6% in the lower outer quadrant
Self in the mirror
Upright posture can contribute to an easier viewing of the upper and outer parts of the breast and armpit, because breast self-examination should, if possible, to work standing up. It is desirable to observe the breasts in the mirror work on well-lit area. The best solution is a high mirror on the wall. While standing in front of the mirror, stripped to the waist.
Place your hands beside the body. See if they have any breast changes in size, shape or position, if there are wrinkles or sagging skin, whether hollow or nipples changed shape, other changes in the nipple, redness, swelling or other irregularities. Then repeat the process akimbo. Bend forward with hands on hips and see if there are any irregularities.
Raise your arms above and behind the head. Turn to the first one and the other side to see the breast in profile. See if there are any changes in the symmetry of right and left breast. Keep in mind that it is often normal for a woman that one breast is larger or different shape than the other.
Feel each breast individually and note if there are any new lumps or other changes and irregularities. Use your fingertips, and the peaks do not view the above-described forms (up - down, spiral, V). Be sure to inspect and bradavicu.Najpre a squeeze and see if there is discharge. Then press the nipple deep into the nipple areola. Note that if there is unusual resistance, hardness or a knot under the nipple.
While standing, feel it and axillary lymph nodes. Normally the size of a bean. Sometimes lymph nodes may be enlarged, but due to an infection, not cancer. However, their increase may be caused by the development of cancerous processes. Like the appearance of lumps and other changes to the nipple, and lymph node enlargement should be reported to the doctor.
Self-examination in the supine position
After a breast self-examination in the standing position, and lying to do. These forms are used. If a woman has some issues in connection with the self-examination, you should set them to your doctor.
Lie down with a pillow or folded towel under your right shoulder and place your right arm behind your head. View the entire breast and underarm area using the pads of three middle fingers of your left hand and try to feel that you have lumps, changes and other irregularities on the right breast. Press hard enough and remember what the feeling of the fingers. Tighter borders on the lower curve of both breasts is normal. Repeat the procedure on the left breast using the fingertips of his right hand.
While doing self lying, again check the nipple that has changed and you do not forget to gently squeeze the nipple to check for any discharge of milk ducts. Note that if a change in appearance, consistency, discharge, whether discharge occurs spontaneously or on pressure, what color.
Discharge from the nipple that is green or yellow color is usually normal. Secretion that is bloody, dark or bright and tacky is abnormal (although it was determined that the discharge caused by the presence najsumljiviji nekanceronih changes such as papillomas in milk ducts). In about 10% of cases, discharge from the nipple denied cancerous lesions. In women younger than 30 years, this percentage is lower.However, each lasting appearance of secretions should be reported to the doctor to further investigate its origin.
Self-examination in the shower
Many women find an overview of the shower a lot better than the self in the mirror, lying down, because the breast skin with soap grease. Some skin changes are much easier groping when the skin is wet and soapy.
Raise your right arm overhead and bend it behind your head. Using his left hand, check your right breast using the method described above. Touch the breast with cheekbones three middle fingers, moving them into smaller and smaller circles from the outside towards the nipple. Press gently, making sure there are lumps. When viewing the nipples, check for discharge. Repeat examination and the left breast with his right hand. Be sure to inspect the area immediately around the breast and armpit (because they contain breast tissue and lymph nodes).