self breast examination and clinical breast examination

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    Dr R Yohana SpB(K)Onk

    Sub Bagian Bedah Onkologi, Kepala dan LeherRS dr Hasan Sadikin

    Bandung

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    • Single most important tools for

    SURVIVING BREAST

    CANCER is EARLYDETECTION

    • How? BSE

    •  Why do it ? Get to know

     yourself. No body knows your

    body better than YOU

    Ollivoto, Gelmon. Intelligent Patient Guide to Breast Cancer. 2001

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    7-10

    days

    Top

    Third

    Each

    Finger

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    Three way

    • While standing in front

    of a mirror

    • While lying down

    • While taking a shower

    Five step

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    Bates, Guide to Physical Examination and History Taking, 2008

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    20-39 yo every 3 years

    40 yo every year

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    Use the pads of your middle

    three fingers to feel the

    texture of your breast.

    Your finger pads are the top

    third of each finger, not the

    tips.

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    • Any change in size,

    shape orsymmetry of your

    breast

    • Any thickening orswelling of the

    breast

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    Mostcommon:

    lump orthickening inbreast.Oftenpainless

    Dischargeorbleeding

    Change in size or contoursof breast

    Redness or pitting ofskin over the breast,like the skin of anorange

    Change in color orappearance of areola

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    Nipple Discharge

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    Lymph Node Examination

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    Thank You