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Breast Self Exam

Published: December 29, 2005
Dear TeenHealthFX,

I am trying to find out if there is information already out there for girls ages 14+ regarding self-breast examination.


Signed: Breast Self Exam

Dear Breast Self Exam,

 


Updated January 17th, 2007

 

Learning and practicing monthly breast self-exams (BSE) is an important step that you can take to protect your health. Although breast cancer in adolescence is rare, starting monthly breast self exam as soon as you begin to menstruate (or get your period) is  central to maintaining good health.

Getting to know the normal shape and feel of your breast tissue is key so that you can easily identify if there are any changes.  Also, breast lumps are common during the teen-aged years and many females get cysts or tumors in their breasts that are not cancerous. Most of the time, these kinds of lumps will disappear on their own, but it is always good to have them checked by a doctor. FX encourages our female readers to learn and practice breast self-exam.

Some beginning guidelines:

  • Examine your breasts monthly just as your menstruation (period) ends, or at the same time each month if you do not yet have periods).
  • Look for any changes like lumps and bumps.
  • Keep in mind that most lumps and bumps are harmless, but if you find one, you should show it to your doctor if it doesn’t disappear within a few days.

*How to do Breast Self-Exam (BSE):

  • Lie down and place your right arm behind your head. The exam is done while lying down, and not standing up. This is because when lying down the breast tissue spreads evenly over the chest wall and it is as thin as possible, making it much easier to feel all the breast tissue.

                                              

  • Use the finger pads of the three middle fingers on your left hand to feel for lumps in the right breast. Use overlapping dime-sized circular motions of the finger pads to feel the breast tissue.

                                               

  • Use three different levels of pressure to feel all the breast tissue. Light pressure is needed to feel the tissue closest to the skin; medium pressure to feel a little deeper; and firm pressure to feel the tissue closest to the chest and ribs. 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. Use each pressure level to feel the breast tissue before moving on to the next spot.
  • Move around the breast in an up and down pattern starting at an imaginary line drawn straight down your side from the underarm and moving across the breast to the middle of the chest bone.(sternum or breastbone). Be sure to check the entire breast area going down until you feel only ribs and up to the neck or collar bone (clavicle).
  • There is some evidence to suggest that the up and down pattern (sometimes called the vertical pattern) is the most effective pattern for covering the entire breast without missing any breast tissue.
  • Repeat the exam on your left breast, using the finger pads of the right hand.
  • While standing in front of a mirror with your hands pressing firmly down on your hips, look at your breasts for any changes of size, shape, contour, dimpling, pulling, or redness or scaliness of the nipple or breast skin. (The pressing down on the hips position contracts the chest wall muscles and enhances any breast changes.) Continue to look for changes with your arms down at your sides and then with your arms raised up over your head with your palms pressed together.

                                             

  • Examine each underarm while sitting up or standing and with your arm only slightly raised so you can easily feel in this area. Raising your arm straight up tightens the tissue in this area and makes it difficult to examine.

So that is it!  FX believes that it is important for you to take charge of your body and health.  Remember, you are never too young to start to take care of your body, and invest in healthy habits for the rest of your life! 

Although breast cancer is very rare in adolescence, the Susan G. Komen Breast Cancer Foundation reports that it is the leading cause of death in young women age 35-40.  The upside to this is that with Breast Self-Exam, a female increases her chances of finding lumps earlier.  And, when breast cancer is detected at the earliest stages, the survival rate is nearly 97%! So, the moral of the story is to start breast self-exam early so anything abnormal can be addressed right away. 

 

Other ways to decrease your risks of cancer, including breast cancer is to:

  • Maintain health body weight
  • Refrain from smoking and consuming alcohol
  • Limit red meat, salt, high fat foods, sugar
  • Increase activity level
  • Eat more fruits, vegetables and high fiber foods

 

As with any medical concern, TeenHealthFX encourages you to speak to your physician or local teen health center.  In northern New Jersey, please contact the Adolescent/Young Adult Center for Health at (973) 971.5199.  Outside of this areas, please call your local Planned Parenthood.  Also, you may qualify for a free cancer screening. You can find out by contacting New Jersey Cancer Education and Early Detection (NJCEED) at 1-800-328-3838.or log onto the NJCEED website. Outside New Jersey you can log onto National Cancer Institute to find out about screenings in your area.

 

 

 

*The How To Examine Your Breasts section and the pictures of this hot topic is taken directly from the American Red Cross Website.  According to their site, the procedure for doing breast self-exam has changed from the previous procedure recommendations. These changes represent an extensive review of the medical literature and input from an expert advisory group. According to the American Red Cross website, evidence suggests that the woman's position (lying down), area felt, pattern of coverage of the breast, and use of different amounts of pressure increase the sensitivity of BSE as measured with silicone models, and for CBE using patient models with known small non-cancerous lumps in their breasts.

 

 

 

Signed: TeenHealthFX

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