Breast self-examination is not difficult... and helps detect abnormalities early

Breast cancer is the most common cancer found in women. The effectiveness of treatment depends on the stage of the disease. The earlier it is detected, the better the chances of successful treatment.

Breast cancer screening.. When and how often should it be done?

1. Perform breast self-examination at least once a month starting at age 20 and above.
2. Have a breast examination by a doctor starting at age 20 and above. It is recommended every 3 years, and after age 40, it should be done annually.
3. Mammogram and/or ultrasound should be done once between ages 35-40. After age 40, it should be done every 1–2 years.
4. For those with a direct family history of breast or ovarian cancer, screening should begin 5 years before the age at which the relative was diagnosed.
5. For high-risk individuals or those with dense breast tissue, MRI screening can detect more cancers than mammograms. The decision to undergo MRI screening should be made in consultation with a specialist.

When should you perform breast self-examination?

1. Perform regularly every month.
2. Perform 7–10 days after the first day of your menstrual period.
3. Perform on the same day each month if you no longer have periods.

How to perform a proper breast self-examination

1. Stand in front of a mirror and look at both breasts. Observe the size, shape, skin color, position of the breasts, and nipples. Compare any changes with the previous month.
2. Then raise both arms above your head and look at your breasts again. Slowly turn your body to view the sides of your breasts.
3. Place your hands on your hips and lean forward slightly to check for any changes again.
4. Gently squeeze the nipples to check for any blood, pus, or fluid discharge.
5. Start palpating the breasts from the collarbone down. Use the left hand to examine the right breast with the index, middle, and ring fingers. Press gently on the skin, then press harder until you feel the ribs. Palpate the entire breast in all directions, including the underarm area. Then switch to the other breast and repeat the same method.
6. After palpating while standing, change to lying down. Use a pillow to support the shoulder of the breast being examined and palpate again as you did while standing.

Abnormalities… that indicate you should see a doctor immediately

• A lump or thickening in the breast or underarm
• Red or warm skin
• Enlarged pores resembling orange peel skin
• Skin dimpling or retraction
• Skin swelling
• More pain than usual
• Itching or rash, especially around the nipple and areola
• Change in nipple direction
• Blood discharge from the nipple
• Non-healing wounds on the breast or nipple

Breast Care Center, Phyathai 2 Hospital, Building A, 7th Floor

Tel. 02-617-2444 ext. 4125, 4185 Call Center 1772