How to Perform a Breast Self-Examination for Breast Cancer
Aug 11, 2021
Source: Cainiu Health
Dr. Zhang Jun
Introduction
First, perform visual inspection: while showering, examine the breast skin in a mirror for redness, swelling, or an orange-peel-like appearance, as well as for skin dimpling or nipple retraction.
During palpation, use the right hand to examine the left breast and the left hand to examine the right breast, systematically palpating the breast tissue in either a clockwise or counterclockwise direction.
Begin with visual inspection: while showering, observe your breasts in the mirror for signs of redness or swelling, “peau d’orange” (orange-peel-like) skin changes, skin dimpling, or nipple enlargement. Normally, the nipples point slightly downward; note any deviation, retraction, or inversion.
Next, raise both arms and rotate your torso slowly. Then place your hands on your hips and rotate again. If a deep-seated breast mass is present, these movements may reveal asymmetry—providing an early visual clue. This constitutes the “inspection” component.
For palpation, use your right hand to examine the left breast and your left hand to examine the right breast. Systematically examine the breast tissue in either a clockwise or counterclockwise direction. Slightly flex the metacarpophalangeal joints and use the pads of four fingers (excluding the thumb) to apply moderate, consistent pressure—not too light nor too firm. As you palpate, gently push and move the skin along with the underlying subcutaneous tissue in small, overlapping circular motions—beginning with a large circle and progressively moving inward toward the center. Repeat the examination in the innermost circle, concluding with careful assessment of the nipple and areola.
