BREAST PRESENTATION
Mr Haresh Devalia
Breast Awareness
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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. Baltimore: John Hopkins Press.
Skin retraction + Nipple retraction
Circumferential Retraction- Cancer
Slit-like retraction- Benign
Nipple inversion
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Very common
 Benign inversion can be congenital or
develop slowly
 Areola remains symmetrical
Nipple Discharge
Nipple discharge
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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