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A clinical breast examination (CBE) is a physical examination of the breast done by a health professional. Clinical breast examinations are used along with mammograms to check women for breast cancer. Clinical breast examinations are also used to check for other breast problems.
A clinical breast examination may be part of your regular checkup. Talk with your health professional about how often you need a breast examination.
Women with breast implants should also have regular clinical breast examinations.
A clinical breast examination is done to:
Tell your health professional if you:
You may want to have your examination 1 to 2 weeks after your menstrual period ends, if you are still menstruating; your breasts are less likely to be tender at that time.
Talk to your health professional about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results may mean. To help you understand the importance of this test, fill out the medical test information form(What is a PDF document?).
A clinical breast examination is done by a health professional. You will need to take off your clothes above the waist. You will be given a gown to wear during the examination.
First, your health professional will ask you questions about any problems you may have, your medical history, and your risk factors for breast cancer. Talk to your health professional about any areas of your breasts you may be concerned about.
Your health professional will then examine each breast, underarm, and collarbone area for changes in breast size, skin changes, or signs of injury or infection, such as bruising or redness. You may be asked to lift your arms over your head, put your hands on your hips, or lean forward and press your hands together to tighten the muscle beneath each breast during this part of the examination. You may also lie flat on the table and put your arm behind your head while your health professional checks your breast tissue.
Your health professional will feel (palpate) each breast for any unusual or painful areas or for a dominant lump. A dominant lump in the breast is any lump that is new, larger, harder, or different in any other way from other lumps or the rest of the breast tissue.
Your health professional will gently press on the breast tissue from about 1 in. (2.5 cm) below the breast up to the collarbone. He or she also will examine your armpit (axillary area) and your neck for swollen glands (lymph nodes). Your health professional will likely press gently on your nipple to check for any discharge.
After the examination, your health professional may teach you how to examine your own breasts (breast self-examination) and help you practice doing it.
A clinical breast examination normally does not cause any discomfort unless your breasts are tender.
There are no risks in having a clinical breast examination.
A clinical breast examination (CBE) is a physical examination of the breast done by a health professional. Findings of a clinical breast examination may include the following.
The nipples, breast tissue, and areas around the breast look normal and are normal in size and shape. One breast may be slightly larger than the other.
A small area of firm tissue may be present in the lower curve of the breast below the nipple.
Tenderness or lumpiness that occurs in both breasts is normal for many women. Many women have the same lumpiness or thickening in both breasts during the menstrual cycle.
A clear or milky discharge (galactorrhea) may be present when the nipple is squeezed. This may be caused by nursing, breast stimulation, hormones, or some other normal cause.
One breast may have more glandular tissue (lumps) than the other one, especially in the upper outer quadrant of the breast.
A firm lump or area of thickening may be present in one of your breasts.
Changes in the color or feel of your breast or nipple may be present. This can include wrinkling, dimpling, thickening, or puckering or an area that feels grainy, stringy, or thickened.
A nipple may sink into the breast. A red, scaly rash or sore may be found on the nipple.
Redness or warmth over a painful lump or over an entire breast may be present. This may be caused by an infection (abscess or mastitis) or cancer.
A bloody or milky discharge (galactorrhea) may occur without stimulation (spontaneous nipple discharge).
A normal clinical breast examination does not mean that breast cancer is not present. Depending on your age and your personal and family history of breast cancer, your health professional may do other tests, such as a mammogram.
If a breast problem is found, the next step depends on the problem.
Reasons you may not be able to have the test or why the results may not be helpful include:
Other Works ConsultedAmerican Cancer Society (2011). Cancer Facts and Figures 2011. Atlanta: American Cancer Society. Available online: http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-029771.pdf.American Cancer Society (2011). Cancer Prevention and Early Detection Facts and Figures 2011. Atlanta: American Cancer Society. Available online: http://www.cancer.org/Research/CancerFactsFigures/CancerPreventionEarlyDetectionFactsFigures/cancer-prevention-early-detection-facts-figures-2011.Saslow D, et al. (2004). Clinical breast examination: Practical recommendations for optimizing performance and reporting. CA: A Cancer Journal for Clinicians, 54: 327-344.U.S. Preventive Services Task Force (2009). Screening for breast cancer. Available online: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm.
ByHealthwise StaffPrimary Medical ReviewerSarah Marshall, MD - Family MedicineKathleen Romito, MD - Family MedicineSpecialist Medical ReviewerC. Dale Mercer, MD, FRCSC, FACS - General Surgery
Current as ofMay 3, 2017
Current as of: May 3, 2017
Author: Healthwise Staff
Medical Review: Sarah Marshall, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & C. Dale Mercer, MD, FRCSC, FACS - General Surgery
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