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Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 1

BREAST SELFEXAMINATION

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Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 2

BREAST STRUCTURE

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Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 3

Breast Self Exam

Detects the majority of

breast abnormalities

Potentially life-saving Monthly exam, at end

of menses

Start in front of mirror

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Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 4

Inspect for:

Skin changes

Redness

Visible bumps

Nipple crusting

Symmetry

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Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 5

Raise Arms Up

Breasts should rise

evenly

Watch for dimpling orretraction

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Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 6

Feel for Lumps

Raise the arm

Feel with opposite hand

Feel for a marble in abag of rice

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7/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 7

Use the Middle of Your Fingers

Fingertips are too

sensitive (all breasts

are somewhat lumpy)

Palm is too insensitive

Middle portion of

fingers is just right

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8/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 8

Move your hand in small circles

Stay in one place

Press in while circling

with your hand

Feel for thickenings the

size of a marble

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9/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 9

Then move to another location

Work your way around

the breast in a clockwise

fashion, using small

circles of the hand as you

go.

Make sure the entire

breast is felt.

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10/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 10

The Tail of the Breast

Breast is not perfectly

round.

A Tail of breast tissuenormally extends into the

armpit.

Make sure to feel for

lumps in that portion ofthe breast.

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11/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 11

Feel the Armpit Use the same circular

motions.

Feel for breast lumps and

lymph nodes. Normal lymph nodes

cannot be felt.

Enlarged lymph nodesare about the size of a

pencil eraser, but longer

and thinner.

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13/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 13

Now Check the Other Side

Follow same

maneuvers.

Raise the arm aboveyour head.

Feel for lumps or

masses.

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14/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 14

Have a Professional Breast Exam

Each Year

Basically the same

maneuvers

Ask questions

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15/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 15

Mammograms Age 40-50: Every

other year

Over Age 50:Annually

Might be more oftenin special

circumstances such asbreast problems,family history of

breast cancer.

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16/17Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000 Slide 16

If you find something in your

breast...

Dont panic.

Most (90%) of breastlumps are benign.

Do see a physician or

other qualified health

care provider right away.

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17/17O ti l Ob t t i & G l B f M di i d S 2000 Slid 17