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BREAST PRESENTATION Mr Haresh Devalia Breast 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) 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 Very common Benign inversion can be congenital or develop slowly Areola remains symmetrical Nipple Discharge Nipple 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: 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