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Breast self-exam

Learn how to properly perform a potentially life-saving test.

By The Canadian Breast Cancer Network

Reprinted from the Breast Self Exam Shower Card

Why should I do a Breast Self Examination (BSE)?
To know what is normal for your breasts, so changes can be found early.

When should I do a BSE?
Once a month. If menstruating, do one week after your periods.

How do I do a BSE?
In front of a well-lit mirror with arms at your side carefully look at your breasts.

• Look for CHANGES in the size and/or shape, for rashes, puckering of the skin and CHANGES in the nipples.
• It is normal for breasts to be of different sizes.
• Place hands behind your head and look again.
• Put your hands on your hips and squeeze. Look for CHANGES.

In the shower or bath
• Think of your breasts as a clock. Move the flat part of your three middle fingers in small circular motions from the outer part of the breast including the nipple. Press firmly.
• Start at "12 o'clock" and feel all around the breast. Feel under the nipple.
• With your arm at your side, feel up under the breast into the armpit.
• It is normal to feel a ridge at the bottom of your breast.
• Cover the area from just below the collar bone and under your arms, to under your bra line.
• Repeat the exam on the other breast with your opposite hand.

Lying down
• Place a rolled up towel or small pillow under the side you are examining to center the breast evenly on your chest.
• With your hand behind your head, start at "12 o'clock" and check all around the breast as you did in the shower.
• Now place the back of your hand on your forehead and roll slightly away from the side you are examining. Check the outer half of the breast and up into the armpit.

Remember
• Most breast lumps are not cancerous.
• If you notice CHANGES or find a lump or thickening of tissue, see your Doctor immediately.

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