1. BREAST PRESENTATION
Mr Haresh Devalia

2. 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.

3. Raphael’s painting (1520) La Fornarina -
1st graphic evidence of breast cancer

4. Integration of Art and Medicine
Breast cancer portrayed in the art before described by medical science

5. Bathsheba’s Breast

6. Olson, James. 2002. Bathsheba’s Breast: Women, Cancer, and History
Olson, James Bathsheba’s Breast: Women, Cancer, and History. Baltimore: John Hopkins Press.

7. Skin retraction + Nipple retraction

9. Circumferential Retraction- Cancer

10. Slit-like retraction- Benign

11. Nipple inversion
Very common
Benign inversion can be congenital or develop slowly
Areola remains symmetrical

12. Nipple Discharge

13. 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

14. Common causes of breast lumps: Cysts, Fibroadenomas

15. Erosion of nipple extending to involve areola
Crusting

16. Breast Examination

17. Breast Awareness
Know what is normal for you
Know what changes to look for
Look and feel

18. Report any changes to your GP without delay
Attend routine breast screening if you are aged 50 or over.

19. Three Graces