• Step 1: Look

    Stand in front of a mirror and check your breast shape, skin, nipples and vein pattern.

  • Look at 3 different positions

    1. Arms by your side.
    2. Arms raised above your head bending forward.
    3. Place hands on hips and hunch over.

  • Step 2: Feel

    Feel your breast using a firm smooth touch with the first few fingers keeping flat together. Cover the entire breast, follow a pattern so that you cover the whole breast.

  • Feel either lying or standing

    You can feel your breast while lying down. Many women find the easiest way to feel their breast is while showering.

  • If you notice a lump or unusual change

    Do not panic. See your doctor promptly for further evaluation.

Common Presentations of Breast Cancer


  • Breast ultrasound is used to screen for presence of any breast abnormalities. Ultrasound don’t use radiation, hence it is safe for pregnant women. It is recommended as the initial imaging tool for women younger than 35 years old. (8)

  • A mammogram is a low-dose X-ray of the breast. It can be used to look for early signs of breast cancer. Importantly, it can act both as a screening tool (for women who don’t have breast symptoms) and a diagnostic tool (for women who have breast symptoms). In fact, for symptomatic women above 35 years old, combined mammography and ultrasound can improve the breast cancer detection.

  • Magnetic Resonance Imaging (MRI)

    MRI is also used to detect breast abnormalities. It is only used in specific clinical situations. For example, it might be used to evaluate the extent of breast cancer.(8, 10)

  • “Used with permission of Mayo Foundation for Medical Education and Research, all rights reserved.”

    "Permission does not imply endorsement of any study sponsors."(10)


    Pathology Examination

    ▪ Fine needle aspiration cytology (FNAC) - a simple procedure that involves passing a thin needle through the skin to sample fluid or tissue from a cyst or solid mass

    ▪ Core needle biopsy - a procedure that removes a piece of tissue from a lesion or mass which can remove more tissue than a fine needle biopsy.

  • (8)

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