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Clinical Breast Exam Print
Recommendation for Screening
Age:
How often:
20-39
3 years
Age:
How often:
40+
Annual
Gender: Female

Note:
Clinical breast exam has become somewhat controversial, but many professionals still recommend this regimen.

1. What is this exam?

This is an exam of your breasts to look for any signs of breast cancer.


2. Why do I need this test?

There were about 209,000 new cases of breast cancer predicted and about 40,000 breast cancer deaths expected in the United States in 2010. Most doctors feel that early detection of breast cancer can be life-saving. Clinical breast exam may aid early detection.


3. How is this test done?

Your healthcare provider will have you undress above the waist. First he/she will look at your breasts for any changes in size, shape, or color. Then he/she will feel your breasts in a systematic way using the pads of his/her fingers. Your underarms will also be examined. If you practice breast self-exam you can review your technique at this time.


4. Are there any special instructions for this test?

No.


5. Risk factors
  • Female
  • Age > 40 and especially age > 50
  • Personal history of breast cancer
  • Family history of breast or ovarian cancer
  • Gene mutations including BRCA1 and BRCA2 mutations
  • Family history of male breast cancer
  • Prior abnormal breast biopsy
  • Ethnicity (highest incidence in Caucasians, highest death rate African-American)
  • Ashkenazi Jewish ancestry
  • Prior chest radiation therapy
  • Menarche < 12
  • Menopause > 55
  • DES intake
  • First child after age 30 or no children
  • > 1 alcoholic beverage per day
  • Obesity especially after menopause
  • Hormone therapy (some controversy); strongest association in people on recent or current combined estrogen/progesterone therapy
  • Sedentary lifestyle
  • High fat diet (maybe)
  • Many others remain controversial: anti-perspirants, pollution, night-shift work, underwire bras, induced abortion, breast implants, smoking, secondhand smoke


Citations
  1. "Preventative Screening Tests and Immunizations." U.S. Department of Health and Human Services. February 2011. http://www.womenshealth.gov/prevention/general/.
  2. "Screening for Breast Cancer." U.S. Preventive Services Task Force. July 2010. http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm.
  3. "Detailed Guide: Breast Cancer; Can Breast Cancer be Found Early?" American Cancer Society. September 2010. http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_Can_breast_cancer_be_found_early_5.asp.
  4. "Understanding Breast Cancer: General Recommendations" Susan G. Komen for the Cure. July 2010. http://ww5.komen.org/BreastCancer/GeneralRecommendations.html.
  5. "Estimated New Cancer Cases and Deaths by Sex, United States, 2010." CA A Cancer Journal for Clinicians: Cancer Statistics, 2010. July 2010. http://caonline.amcancersoc.org/cgi/content/full/caac.20073v1/TBL1.
  6. ""Breast Self-Awareness" The University of Texas, MD Anderson Cancer Center. August 2009. http://www2.mdanderson.org/app/pe/index.cfm?pageName=opendoc&docid=2338.
  7. "Detailed Guide: Breast Cancer; What are the Risk Factors for Breast Cancer?" American Cancer Society. September 2010. http://www.cancer.org/docroot/CRI/content/CRI_2_4_2X_What_are_the_risk_factors_for_breast_cancer_5.asp?rnav=cri.
  8. "Breast Cancer (PDQ-r) Screening." National Cancer Institute U.S. National Institutes of Health. January 2011. http://www.cancer.gov/cancertopics/pdq/screening/breast/healthprofessional.
  9. "MRI of the Breast." RadiologyInfo. February 2010. www.radiologyinfo.org/en/info.cfm?pg=breastmr.
  10. "Breast MRI: Imaging test to detect breast cancer." MayoClinic. July 2009. www.mayoclinic.com/health/breast-mri/BR00019.
  11. "Frequently Asked Questions about MQSA." U.S. Food and Drug Administration. October 2009. http://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/ConsumerInformation/ucm113968.htm.
  12. "Mammography." Radiology Info: The Radiology Information Resource for Patients. March 2010. www.radiologyinfo.org/en/info.cfm?pg=mammo&bhcp=1.
  13. "Understanding Breast Cancer Risk." Breastcancer.org. March 2011. http://www.breastcancer.org/risk/understanding.jsp.

Created: 7/2/2007
Last Modified: 4/7/2011
 
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