A clinical breast examination (CBE) is a physical assessment performed by a healthcare professional to monitor breast health and detect any unusual changes. In Singapore, these examinations are a fundamental part of preventive healthcare, often recommended in conjunction with other screening modalities like mammograms and ultrasounds, depending on an individual’s age and risk factors.
What Happens During the Examination?
A clinical breast examination is a non-invasive procedure that typically takes between 10 and 15 minutes. It is conducted in a private setting and consists of two primary stages:
- Visual Inspection: While you are in a seated or standing position, the clinician observes the breasts for any visible changes. This includes looking for skin irregularities, such as dimpling, redness, or scaling, and noting any changes in the symmetry, size, or shape of the breasts.
- Manual Palpation: While you lie on an examination table with your arm raised, the clinician uses the pads of the fingers to systematically palpate the breast tissue. This involves applying varying degrees of pressure to feel for lumps, hard knots, or areas of thickened tissue. The examination extends to the underarm (axilla) and the area around the collarbone to check for enlarged lymph nodes.
Family History and Risk Assessment
A significant portion of the clinical visit involves a review of your medical and family history. This information is used to provide a structured risk assessment, which helps determine the appropriate frequency and type of future screenings.
- Family Background: You will be asked if first-degree relatives (such as a mother or sister) have been diagnosed with breast or ovarian cancer.
- Personal Health History: The clinician will review your menstrual history, previous biopsy results, and any current symptoms you may have noticed, such as localized pain or nipple discharge.
Preparation Guidelines
To facilitate an accurate and comfortable examination, we recommend the following:
- Timing: If possible, schedule the exam one week after your menstrual cycle ends, as breast tissue is typically less tender at this time.
- Attire: Wear a two-piece outfit to allow for easier undressing from the waist up.
- Hygiene Products: Avoid applying lotions, powders, or deodorants to the chest and underarm area on the day of the exam, as these substances can interfere with the physical assessment.
At Dr. Melanie Seah Consultant Breast Surgeon, we focus on providing evidence-based care for a variety of breast conditions. Our team, led by Dr. Melanie Seah, provides clinical assessments and surgical services for both benign and malignant breast issues. We also collaborate with qualified physiotherapists who assist in post-surgical care and the management of conditions such as lymphedema.
Contact Our Clinic for an Appointment
Regular clinical examinations are an important step in maintaining breast health. If you wish to schedule a review or discuss specific breast health concerns, our team is available to assist you. Please contact our clinic to arrange a consultation.
