Breast self-examination

Educate the patient regarding the importance of obtaining a yearly mammogram and Papanicolaou (Pap) smear (if applicable), as well as performing a monthly breast self-examination. 

BSE, breast self-examination CBE, clinical breast examination NR, not recommended , insufficient data to recommend for or against. 

With estrogen-based therapy, there should be yearly breast exams, monthly breast self-examinations, and periodic mammograms. Women on hormonal therapy should undergo annual monitoring, including pelvic examination, blood pressure checks, and routine endometrial cancer surveillance. 

Breast cancer Breast self-examination F 20 and over Monthly... 

Thomas DB, Gao DL, Self SG, et al. Randomized trial of breast self-examination in Shanghai Methodology and preliminary results. J Natl Cancer Inst 1997 89 355-365. 

Teach self-examination (testicular breast for women)... 

Patients should receive both verbal and written instructions concerning the chosen method of contraception. Follow-up appointments can increase compliance, allow time for the patient to ask questions, and provide opportunities to address other health maintenance issues (e.g., self-breast examination, Papanicolaou smears, STD risk). ... 

But even if one were to accept the epidemiologic data at face value and assume that the entire correlation was due to a causal link flowing in only one direction (from alcohol to breast cancer), how strong is that association anyway The largest study to bear on that question is the European Prospective Investigation into Cancer and Nutrition (EPIC). It examined data collected on self-reported alcohol consumption and cancer diagnoses in 274,688 middle-aged and elderly women from ten countries for up to 9.4 years (median 6.4 years). 

---