Breast Cancer, Signs and Symptoms

Breast Cancer – October 2024

October is Breast Cancer Awareness Month. As well as through screening with mammograms, many breast cancers are detected by women noticing symptoms or changes in their breasts. Here is some information about signs and symptoms to watch out for.

Signs and Symptoms of Breast Cancer

Breast cancer can present with a variety of signs and symptoms, though it is important to note that not all women will experience noticeable changes in the early stages. One of the most common symptoms is a lump or mass in the breast. This lump may feel firm or hard and is usually painless, though some can be tender. Not all lumps are cancerous, but any new or unusual lump should be assessed and examined by a healthcare provider.

Other symptoms may include changes in the size or shape of the breast. A breast that appears swollen or significantly different from the other could indicate an underlying issue. In some cases, the skin on the breast may become dimpled or have a texture resembling an orange peel (called peau d’orange). Nipple changes can also be an early warning sign. This includes nipple inversion (where the nipple turns inward), discharge that is not breast milk (especially if bloody), or changes in the appearance of the nipple or surrounding skin.

Breast pain, while less commonly associated with breast cancer, can occur in some cases. Other more subtle signs may include redness or scaling of the skin on the breast or nipple, or swelling / lumps in the armpit area, which may indicate the spread of cancer to nearby lymph nodes.

How to Check Your Breasts

Performing regular breast self-exams is an essential practice for detecting potential signs of breast cancer early. While it is not a substitute for professional screenings, such as mammograms, it can help you become more familiar with the normal look and feel of your breasts, making it easier to notice any changes.

 

To conduct a breast self-exam, follow these steps:

 

  • In the Mirror: Stand in front of a mirror with your arms at your sides. Look for any visible changes in the shape, size, or skin texture of your breasts, including dimpling, puckering, or redness. Next, raise your arms above your head and repeat the visual inspection, looking for any asymmetry or changes in both breasts.

 

  • In the Shower: Using the pads of your fingers, gently but firmly press on each breast, moving in a circular motion around the breast tissue. Cover the entire breast, including the armpit area. Pay attention to any lumps, thickened tissue, or unusual sensations.

 

  • Lying Down: Lie down flat and place a pillow under one shoulder. Using the opposite hand, repeat the same circular motions to feel for lumps or abnormalities. Be thorough in covering the whole breast, from the collarbone to the top of your abdomen, and from your armpit to your cleavage. Switch sides and repeat for the other breast.

 

It’s recommended to perform breast self-exams at the same time each month, ideally a few days after your period, when breasts are less tender or swollen. If you detect any unusual lumps, skin changes, or nipple discharge, it’s important to contact a healthcare professional for further evaluation. Regular self-exams, combined with professional screening, can significantly improve the chances of detecting breast cancer early.