Breast self-examination

Breast self-examination (BSE) is a screening method used in an attempt to detect early breast cancer. The method involves the individual conducting a physical examination of their own breasts. BSE is recommended to be performed regularly, with varying recommendations from health organizations on the specific frequency. The technique is used to familiarize individuals with the normal condition of their breasts so that they can recognize any changes, should they occur.

Background

Breast cancer is one of the most common cancers affecting women worldwide. Early detection of breast cancer can lead to earlier treatment, potentially saving lives. Breast self-examination is one method by which individuals can monitor their breasts for changes such as lumps, distortions, or differences in size and shape. While BSE is not a substitute for professional screenings such as mammography or clinical breast exams, it can be a helpful tool for early detection in addition to these methods.

Procedure

The breast self-examination procedure can be broken down into several steps:

1. Visual Examination: Standing in front of a mirror with the shoulders straight and the arms on the hips, visually inspect your breasts. Look for changes in size, shape, symmetry, or skin texture, including dimpling, puckering, or bulging of the skin.
2. Physical Examination: Using the pads of your fingers, apply gentle pressure to feel for lumps or thickening. This can be done while lying down or in the shower. The entire breast, from the collarbone to the top of the abdomen and from the armpit to the cleavage, should be examined.
3. Repetition: Repeat the examination on the other breast, following the same steps.

Importance

Regular breast self-examinations can help individuals become more familiar with their breasts, allowing for the early detection of any abnormalities. If a change is detected, it is important to consult a healthcare professional for further evaluation. However, it is important to note that not all lumps or abnormalities result in a diagnosis of breast cancer.

Controversy and Recommendations

The effectiveness and recommendations regarding breast self-examinations have been subjects of debate among medical professionals. Some organizations, such as the American Cancer Society, no longer recommend routine breast self-exams as a screening tool for women with an average risk of breast cancer. They emphasize the importance of mammography and clinical breast exams for cancer detection. However, they also acknowledge that women should be familiar with their breasts and report any changes to their healthcare provider.

Conclusion

Breast self-examination is a personal screening method that can play a role in the early detection of breast cancer. While it has been a topic of debate, the consensus is that awareness and familiarity with one's own body are crucial. Individuals are encouraged to discuss their screening options with their healthcare providers to determine the best approach for their health.