Clinical breast examination (CBE) is a physical exam of the breast performed by a healthcare professional to detect breast cancer and rule out other conditions. It can be uncomfortable but is usually not painful. Abnormalities may require further tests such as mammography or biopsy.
Clinical breast examination (CBE) is the physical examination of the breast that is performed by a healthcare professional. Clinical breast examination can be performed in combination with mammography in the detection of breast cancer. Additionally, physical exam of the breast is used to rule out other sinus conditions and problems. The clinical breast exam may be part of a routine medical check-up, however, the patient’s health care provider can decide how often it should be performed. Often, the doctor or nurse will instruct the patient in the proper technique for performing a CBE so that she can perform breast exams between regular office visits.
Typically, aside from the routine breast exam, CBE can be performed when a lump is found in the breast or if the patient is experiencing nipple discharge in one or both breasts. Although nipple discharge typically indicates hormonal fluctuations, it can signify a more serious condition, such as cancer. Additionally, any new changes or irregularities in the breast, such as inverted nipples, may warrant a clinical breast exam. Usually, breast pain is benign, however, it can signal new tissue growth or infection and should be addressed. Often, women who have breast implants may need to be more vigilant when examining their breasts, as the lumps may be more difficult to detect.
Typically, the clinical breast exam is done in the health care provider’s office. The patient will be asked to undress above the waist and put on a gown. Before the breast exam, the patient should inform her doctor if she has noticed any areas of irregularity in the breasts. Next, the patient will lie down on the examination table and the doctor or nurse will begin examining each breast. The CBE should also include palpation of the armpits and collarbone, as well as a visual inspection of the breast. Typically, a dominant lump in the breast or nipple retraction will require further medical evaluation.
Usually, a clinical breast exam is not painful, however, it can be uncomfortable because deep palpation is often necessary to adequately examine the breast tissue. In general, it is normal for breasts to feel lumpy or tender, especially around the time of your period. If the clinical examination of the breast reveals an abnormality, the health care professional may recommend further tests which may include a mammogram, ultrasound or breast biopsy to rule out a serious condition.
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