How to Perform a Breast Self Examination (and why)

How to Perform a Breast Self Examination (And Why)

The statistics on breast cancer are troubling. Even with all the research and new treatments available, there are still 55 new breast cancer diagnoses daily. The most important detection for early breast cancer is regular breast self examination. This post will inform you of how to perform a breast self examination correctly, and other important facts to be aware of.

Early Detection of Breast Cancer Leads to Higher Survival Rates

If breast (and other cancers) are detected early, they have a much higher survival rate. Options for treatment are numerous. At present the five year survival rate for breast cancer is 91% in Australia, and 96% if the cancer is caught early. That is an excellent outcome, but there are still over 5000 deaths yearly. A free breast screening program is available in Australia, but performing breast self examination is still the best way to detect early cancer. It is important to note that males can get breast cancer too, albeit at a much lower percentage than women.

Breast Cancer Statistics in Australia.  Breast cancer is the most commonly diagnosed cancer, affecting 1 in 7 women and 1 in 675 men.  Source:  National Breast Cancer Foundation
Australian Breast Cancer Statistics. Credit: National Breast Cancer Foundation

How to Perform a Breast Self Examination

If breast cancer is caught early there is a very high chance of survival. A monthly breast self examination is the best way to detect early breast cancer because every woman’s breasts are different. If you know how your breasts usually look and feel, you will be in the best position to identify early changes and seek medical attention. Some breast changes are very subtle so it is important to know what to look for. The most important thing is to check your breasts monthly. Some guides say to do it on the first of every month, and some say after your monthly period ends. Post menopausal women should do theirs on the first of the month.

I have seen a number of ways to perform breast self examination. I have always done mine in the shower with soapy, slippery skin. Some women prefer to do theirs lying down. What matters the most is that you check all parts of your breast including up to your collar bone and under the armpit. Here is an excellent video which shows very clearly the correct procedure:

Breast Self Examination. Credit Madras Institute of Orthopaedics and Traumatology, India

Signs and Symptoms to Watch For During Your

Breast Self Examination

The signs and symptoms to watch for are:

  • Changes in the size or shape of your breast
  • Dimpling or a ‘pulling’ of skin on your breast
  • Any new lumps in the breast or under your arm
  • Breast pain or swelling (pain is rare)
  • Discharge of fluid (except breast milk) from the nipple, including blood
  • Dry, flaky red skin around the nipple area

If any of these symptoms are found, make an appointment to see your General Practitioner as soon as possible. Some women have no symptoms and the cancer is found during a routine mammogram or physical examination by a doctor. Mammograms should be done two yearly between the ages of 50 to 74. Breast Screen Australia provides a free screening service for women aged 50 to 74. Free screening is also available for women aged 40 to 49 and over 74, if requested. It is recommended that women with a strong history of breast or ovarian cancer are screened from an earlier age.

If symptoms are found, further testing may be required including ultrasound, biopsy and other scans such as a CT Scan or MRI. Treatments depend on the size and type of tumour, whether it has spread, and your general health.

Signs and Symptoms of Breast Cancer:  changes in the size or shape of your breast, dimpling or pulling of skin on your breast, any new lumps in the breast or under your arm, breast pain or swelling, discharge of fluid (except breast milk) from the nipple, including blood and dry, flaky red skin around the nipple area.  Source: ICON Cancer Centre
Signs and Symptoms of Breast Cancer. Credit: ICON Cancer Centre

Preventing Breast Cancer

Some factors that increase your risk of breast cancer include:

  • increasing age,
  • family history,
  • inheritance of mutations in the genes BRCA1, BRCA2 and CHEK2
  • Exposure to female hormones (natural and administered)
  • a previous breast cancer diagnosis
  • a past history of certain non-cancerous breast conditions

While you can’t do much about your genetic history, there are lifestyle factors that can impact your chances of getting breast cancer. These include:

  • being overweight
  • not enough physical activity
  • drinking alcohol
  • exposure to radiation

Know Your Breast Cancer Risk

I have written about my own diagnosis of BRCA2 gene mutation, which lead to my bilateral prophylactic mastectomies. It is important to know your risk because the presence of a gene mutation or family history of breast and ovarian cancers, could dramatically increase your risk. My risk before surgery was 60-80% as opposed to the general female population of around 13%. The only effective way I could guarantee that I would not get breast cancer was to have my breast tissue removed. It was a “no brainer” for me – the type of cancer that people with BRCA2 get is often the worst type with a very low survival rate. I did not even want to take that risk.

It has been a life changing decision for me because I had complications – I haemorrhaged post operatively. I’m still recovering 5 months later and have not been able to return to work. It may seem strange to say that I still don’t regret that decision.

I found out this past weekend that my brother has Stage 4 Prostate Cancer, undoubtedly from BRCA2. My mother-in-law has terminal lung cancer and only has a few weeks to live. The high incidence of cancer in my family gives me a lot of anxiety around it. Mum passed away at my age from cancer, and dad died from pancreatic and prostate cancer (BRCA2). My son had a melanoma at 24, and two of my siblings also had melanomas. Some families seem to cop a large burden, and ours is one of them.

Don’t Ignore Symptoms

One of the messages I want to convey is never to ignore symptoms. I have written about this previously in Signs You Need to See a Doctor. Be an advocate for your own health because without it daily life is so much harder.

Please share this article – it may help someone you care for. If you enjoyed this you may like my previous post October is For Breast Cancer Awareness which lists my previous posts about my BRCA2 diagnosis and surgeries.

Note: This post is for general informational and education purposes only. Please refer to my disclaimer.

Shared on Denyse Whelan Blogs Life This Week Linkup

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14 Comments

  1. Wow. That is a strong family history. So smart of you to stay on top of that not just for your health but for your peace of mind. My husband’s grandma and mom both had breast cancer. He’s been tested negative. But, I will still be vigilant with my kids.

    1. Hi Jenny, yes unfortunately we’ve had a lot of cancer in my family. It sounds like your husband has too. I’m glad he was tested. It must give him peace of mind. You’re right, it still pays to be vigilant even when we don’t test positive for a genetic condition. My sons are both negative for the BRCA2 gene mutation, even though my son had a melanoma. We have six monthly skin checks because of that. Thank you for commenting, regards Christina

  2. A truly important post. Thank you for sharing – it’s something I needed to read and, given that October is Breast Cancer Awareness month, something many of us need to read. Take care.

  3. I certainly understand your need to get those messages out there. You do this very well. I have a mammogram every 2 years. So far so good, except for the rough handling I have had (literally) on two more recent occasions. Next time I will mention it. Not fun!

    Thank you for linking up for LifeThisWeek and I hope you join in again next week, where the optional prompt is 42/51 Self-Care Stories #6. 19.10.2020. Denyse.

    1. Hi Denyse, I feel we are on the same path with you being a spokesperson for head and neck cancer. You can certainly relate to the need to educate people I’m sure. I go to a womens imaging centre where they mainly do mammograms and ultrasounds so the radiographers are more considerate. Thank you for commenting, take care,
      Christina

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