Breast Cancer Awareness

Part VI - Breast Self Examination


The breast self-examination (BSE)  is an examination of the breasts, performed by a woman, ideally one time per month. The goal of the breast self-examination is for a woman to notice changes in the breast that should be brought to the attention of a physician for further evaluation. These include breast lumps, changes in the breast shape, size, or contour, or skin changes. Randomized trials have shown no decrease in breast cancer mortality among women performing monthly breast self-examination.

To complete a monthly BSE:
When lying down  -   place a pillow under the right shoulder and position the right arm behind the head. Using the finger pads of the three middle fingers on the left hand, check the entire breast area. Use small circles and follow an up-and-down pattern while pressing firmly enough to know how the breast feels from month to month. This exam should then be repeated on the left breast using the finger pads of the right hand with the pillow under the left shoulder.

When standing before a mirror -  any changes in the shape or look of the breasts should be checked. In order to look for any skin or nipple changes such as dimpling or nipple discharge, the arms should first be placed at the sides and then overhead. Hands are then placed firmly on hips to flex chest muscles, and then the body should be bent forward

When taking a shower  -  the right arm should be raised. By using soapy hands and fingers flat the right breast and outer part of the breast can be examined. The same small circles and up-and-down pattern used when lying down should be used in an upright position. Repeat on the left breast.

The American Cancer Society recommends monthly breast self-examination for women over the age of twenty.    

The Lions Club of Castries urges its members to  encourage friends and family  and to undertake their monthly BSE.  And remember always bring to the attention of your physician any changes you may notice.