BREAST PRESENTATION Mr Haresh Devalia
Breast Awareness 1. Know what is normal for you 2. Know what changes to look for 3. Look and Feel 4. Tell your GP about any changes straightaway 5. Go for breast screening when invited.
Raphael’s painting (1520) La Fornarina - 1st graphic evidence of breast cancer
Integration of Art and Medicine Breast cancer portrayed in the art before described by medical science
Bathsheba’s Breast
Olson, James. 2002. Bathsheba’s Breast: Women, Cancer, and History Olson, James. 2002. Bathsheba’s Breast: Women, Cancer, and History. Baltimore: John Hopkins Press.
Skin retraction + Nipple retraction
Circumferential Retraction- Cancer
Slit-like retraction- Benign
Nipple inversion Very common Benign inversion can be congenital or develop slowly Areola remains symmetrical
Nipple Discharge
Nipple discharge The breast is a modified sweat gland Nipple discharge is common Relevant if spontaneous, uniduct or bloodstained Commonly produced with compression Inspissated secretions in central duct are normal
Common causes of breast lumps: Cysts, Fibroadenomas
Erosion of nipple extending to involve areola Crusting
Breast Examination
Breast Awareness Know what is normal for you Know what changes to look for Look and feel
Report any changes to your GP without delay Attend routine breast screening if you are aged 50 or over.
Three Graces