Breast self-examination is a technique that allows you to identify a lump in your breast. According to the American Cancer Society, experts once endorsed monthly breast self-examinations for the early detection of breast cancer, although evidence now shows that by the time a lump is large enough to be felt, it has passed the stage of early detection. While breast self-examination does not compare with other techniques such as mammogram for cancer screening, it is still useful for identifying other breast problems.
Assess Both Breasts
Step 1
Take a bath or shower. Breast lumps become easier to identify when skin is slightly damp.
Step 2
Lie down flat, folding your right arm behind your head.
Step 3
Place the pads of the three middle fingers of your left hand at the juncture of your right shoulder and armpit.
Step 4
Press lightly and feel for lumps using a circular motion.
Step 5
Move your hand down slightly and repeat, moving up and down the body along the area between the clavicle and the lower border of the breast. Use overlapping motions, and never lift your fingers from your body to avoid missing a spot.
Step 6
When you are done, repeat on the left side of your body.
Reassess Lumps or Irregularities
Step 1
Using your fingers, try to grasp the lump or irregular tissue, to assess consistency, mobility and tenderness. Cancerous lumps are usually hard, fixed and painless. Cysts are usually soft or rubbery, mobile and tender.
Step 2
Follow the lump with your fingers to determine its size and shape. Have a ruler or tape measure handy to improve the accuracy of your measurements.
Step 3
Stand in front of a mirror and raise your hands over your head, inspecting for skin changes such as ripples or dimples.
Step 4
Place your hands on your hips and thrust your shoulders back. Reinspect skin in this position.
Step 5
With your hands still on your hips, flex shoulders and elbows inward, towards your trunk. Reinspect skin in this position.
Tips and Warnings
- Even if you suspect a lump in one, inspecting both breasts helps you understand what is normal and allows you to identify additional lumps, if they exist.
- If you find a lump or other irregularity, make an appointment with your health care provider to discuss your findings.
Things You'll Need
- Mirror
References
- "Williams' Gynecology;" J.O. Schorge et al.; 2008
- American Cancer Society: Breast Cancer
- Mayo Clinic: Breast Exam
