Breast awareness is important so that women notice any breast changes. Most breast changes are not cancer, but should be checked by a doctor. Changes may include pain, lumps or lumpiness, size and shape changes, skin changes such as puckering or dimpling on the breast, and changes to nipples such as discharge or inversion (pulling in).
It is important for women to become familiar with the normal look, feel and shape of their breasts so they will notice any abnormal changes.
The three steps to being breast aware are:
1. Become familiar with the normal look and feel of your breasts.
2. See a doctor if you notice any unusual breast changes.
3. If you are aged 50 to 74, have a mammogram at BreastScreen every two years.
Know what’s normal for you
It is important to be familiar with the look and feel of your breasts and to know what is normal for you. To do this:
- Get to know the usual shape of your breasts by regularly looking in the mirror.
- Become familiar with the normal feel of your breasts at different times of the month. You might find this easiest in the shower or bath, lying in bed or getting dressed.
- Feel all the breast tissue, from the collarbone to below the bra line and under the armpit.
- Use the pads of your fingers to feel near the surface and deeper in the breast.
Changes in breast tissue
Most changes in breast tissue are not cancerous, but there are some changes to look out for that could be a sign of breast cancer.
Any changes that should be reported to a doctor include:
- a new lump or lumpiness, especially if it's only in one breast
- a change in the shape or size of your breast
- a change to the nipple, such as crusting, ulceration, redness or recent inversion
- a nipple discharge that occurs without squeezing
- a change in the skin of your breast such as redness or dimpling
- an unusual pain that doesn't go away.
See your doctor about changes to your breasts
If you notice any unusual breast changes, see your doctor. The earlier breast cancer is detected and treated, the better the chances of recovery. However, it is important to remember that most breast changes that women find are not cancer.
Some non-cancerous conditions that can cause breast lumps and thickenings include:
- Hormones – some women’s breasts become swollen and lumpy around the time of menstruation.
- Fibroadenomas – are lumps made up of normal fibrous and glandular tissue.
- Cysts – are small, fluid-filled sacs.
- Microcalcifications – are spots of calcium salts.
- Radial scars – are star-shaped abnormalities within the breast that form for unknown reasons. Radial scars are usually benign, but may contain cancer cells in some cases.
Screening for breast cancer
Mammographic screening is the best method for detecting breast cancer early, before it can be felt or noticed. For women aged between 50 and 74, regular screening mammograms every two years are the best way to detect breast cancers. Women aged 40 to 49 are welcome to attend BreastScreen. However, because of their breast density, breast x-ray screening is less effective. These women can have an ultrasound in addition to a mammogram.
To book a mammogram, call BreastScreen on 13 20 50. Visit the BreastScreen Victoria website for more information.
Male breast cancer
Breast cancer in men is rare, accounting for less than one per cent of all breast cancers and less than one per cent of all cancers in men. Male breast cancer is usually detected in men aged over 50 years.
Men who notice lumps or other changes in the breast area should see a doctor. Early detection can significantly improve recovery for male breast cancer. The prognosis for men with breast cancer is similar to that of women at the same stage of cancer.
Where to get help
- Your doctor
- Women’s health clinic
- Family Planning Victoria Tel. 1800 013 952 or (03) 9257 0100
- Cancer Council Helpline Tel. 13 11 20
- BreastScreen Tel. 13 20 50
- Multilingual Cancer Information Line, Victoria Tel. (03) 9209 0169
Things to remember
- Be familiar with the normal look and feel of your breasts.
- If you notice any abnormal changes to your breasts, it is important to see your doctor as soon as possible.
- Most changes in breast tissue are not cancerous.
- If you are a woman aged between 50 and 74, have a screening mammogram at BreastScreen every two years.
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This page has been produced in consultation with and approved by:
(Logo links to further information)
The Cancer Council Victoria
Last reviewed: May 2014
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