BREAST PRESENTATIONBREAST PRESENTATION

Mr Haresh Devalia

Breast AwarenessBreast 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) Raphael’s painting (1520)

La Fornarina -

1st graphic evidence of breast cancer

Integration of Art and MedicineIntegration of Art and Medicine

Breast cancer portrayed in the art before described by medical science

Bathsheba’s BreastBathsheba’s Breast

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

Skin retraction + Nipple retractionSkin retraction + Nipple retraction

Circumferential Retraction- CancerCircumferential Retraction- Cancer

Slit-like retraction- BenignSlit-like retraction- Benign

Nipple inversionNipple inversion

Very common Benign inversion can be congenital or

develop slowly Areola remains symmetrical

Nipple DischargeNipple Discharge

Nipple dischargeNipple 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:Common causes of breast lumps:Cysts, FibroadenomasCysts, Fibroadenomas

Erosion of nipple extending to involve areola

Crusting

Breast ExaminationBreast Examination

Breast AwarenessBreast 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 GracesThree Graces