What should be particularly noted when performing a breast physical examination?

Patient's question:

It is said that women should perform self-examinations of their breasts. What aspects should be paid attention to during the self-examination? Can breast cancer be detected through self-examination?

Doctor's answer:

The content of breast cancer self-examination includes:
1. Some early breast cancer patients, although they cannot feel a clear lump in the breast, often experience local discomfort, especially postmenopausal women. They may sometimes feel mild pain or discomfort in one breast or a heavy, aching sensation in one shoulder or back, even extending to the upper arm on that side.
2. Early breast cancer can be felt as a bean-sized lump, which is relatively hard and movable. Generally, there is no obvious pain, although some may experience intermittent dull or pricking pain.
3. Changes in breast shape: Visible as a raised area at the lump site, some areas of skin may appear orange-peel-like, or even edema, discoloration, or eczema-like changes.
4. Nipple retraction near the center. The breast skin may show slight indentation (medically known as "inverted nipple"). The nipple may be eroded, asymmetrical, or the breast skin may thicken, become rough, or have enlarged pores (medically known as "orange-peel syndrome").
5. Nipple discharge: Bloody or serosanguineous discharge should be given special attention for further examination.
6. Regional lymph node enlargement, most commonly in the axillary lymph nodes on the same side. Enlargement of the supraclavicular lymph nodes already indicates advanced stages.
In fact, many breast cancer patients can regain a healthy life. This is because they have used ginseng essence extract, ginsenoside Rh2 (Humedix, 16.2%), in adjuvant therapy. Ginsenoside Rh2 can effectively regulate the human immune system, inhibit tumor cell proliferation, and has certain preventive and therapeutic effects on malignant tumors such as breast cancer, pancreatic cancer, and glioma. It is suitable for tumor patients, severely ill individuals, and the elderly or frail.
G4

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