Early detection of breast cancer improves the likelihood of successful treatment. The American Cancer Society recommends a mammography, clinical breast examination and breast self-examination for early detection of breast cancer.

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A mammography, or X-ray scanning of the breast, is the most sensitive screening method.

Women over 20 years of age should perform a breast self-examination (BSE) every month and have a clinical breast examination every year. Women 40 years of age and over should also have annual mammograms.

Breast self-examination

By regularly examining her own breasts, a woman is likely to notice any changes that occur. The best time for breast self-examination (BSE) is about a week after your period ends, when your breasts are not tender or swollen. If you are not having regular periods, do BSE on the same day every month. Women who are pregnant, breast-feeding or have breast implants also need to do regular breast self-examinations.

1. Lie down with a pillow under your right shoulder and place your right arm behind your head.
2. Use the finger pads of the three middle fingers on your left hand to feel for lumps in the right breast.
3. Press firmly enough to know how your breast feels. A firm ridge in the lower curve of each breast is normal. If you're not sure how hard to press, talk with your doctor or nurse.
4. Move around the breast in a circular, up and down line, or wedge pattern. Be sure to do it the same way every time, check the entire breast area, and remember how your breast feels from month to month.
5. Repeat the exam on your left breast, using the finger pads of the right hand. (Move the pillow to under your left shoulder.)
6. Repeat the examination of both breasts while standing, with your one arm behind your head. The upright position makes it easier to check the upper and outer part of the breasts (toward your armpit). This is where about half of breast cancers are found. You may want to do the standing part of the BSE while you are in the shower. Some breast changes can be felt more easily when your skin is wet and soapy.
7. For added safety, you can check your breasts for any dimpling of the skin, changes in the nipple, redness, or swelling while standing in front of a mirror right after your BSE each month.
8. If you find any changes, see your doctor right away.

Information

For more information about Women's Health services, please call the Shands HealthCare Consultation Center at 800.749.7424 or 352.265.0943.

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Women's Health Services

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Make a new patient appointment or call 352.265.0943 . for more information about Women's Health Services.