BREAST SELF EXAMINATION GYNECOLOGY PROCEDURE GNM B.SC NURSING BREAST CANCER EXAMINATION

1. BREAST SELF
EXAMINATION
PRESENTED BY:
MS. VARSHA CHUDASMA
B.SC. NURSING
NURSING TUTOR

2. BSE
By regularly examining her own breast, a
woman is likely to notice any changes that
occur. The best time for breast self examination
(BSE) is about a week after periods, when the
breasts are not tender or swollen. If the periods
are not regular, BSE is best done on the same
day every month. It may be done either in
standing position, in front of a mirror or in
lying down (supine) position.

3. STANDING INFRONT OF MIRROR

4. EXAMINATION IN STANDING AND
SUPINE POSITIONS
Step 1
1. Stand in front of the mirror. Check both breasts for
anything unusual. Check for any change in contour of
your breasts. Check the upper and outer part of your
breast (toward the armpit); this is where half of all
breast cancers are found.
2. Gently squeeze the nipple to check for discharge.
Check for puckering (small folds), dimpling or scaling

6. STEP 2
1. Clasp (grasp something tightly) your hands behind
your head and press your hands forward.
2. Note any change in the contour of breasts.

7. STEP 3
1. Press your hands firmly on
your hips and bow slightly
toward the mirror as you pull
your shoulders and elbows
forward.
2. Note any change in
contour of breasts in this
position.

8. STEP 4
1. Raise your left arm behind your head.
2. Use three or more fingers of your right hand to feel
your left breast firmly.
3. Beginning at the outer edge, press the flat part of your
fingers in small circles, moving the circles slowly around
the breast.
4. Gradually work toward the nipple and examine the
nipple.
5. Be sure to cover the whole breast.
6. Pay special attention between the breasts and underarm
including the underarm itself.
7. Feel for any unusual lumps or masses under the skin.
8. Repeat the examination on the right breast.

9. STEP 5
1. Lie flat on your back with your left arm over your head and a pillow
or folded towel under your left shoulder. This position flattens the
breast and makes it easier to check.

10. 2. Use the same circular motion described above, i.e. From periphery
towards nipple. The entire surface of the breast is palpated from the
outer edge of the breast to the nipple. Alternative palpation patterns
are circular or clockwise, wedge and vertical strip

11. 3. Repeat the same on right breast.