Reference Manual - IARC Screening Group

Figure G-2. Breast Puckering or DimplingPerforming Breast and Pelvic Examinations• Look at the nipples and note their size and shape and the direction inwhich they point (e.g., do her breasts hang evenly?). Also check forrashes or sores and any nipple discharge.• Have the woman first raise her arms over her head (Figure G-3a) andthen press her hands on her hips to contract her chest wall (pectoral)muscles (Figure G-3b). In each position, inspect the size, shape andsymmetry, nipple or skin puckering or dimpling of the breast and noteany abnormalities. (These positions will also show skin puckering ordimpling if either is present.) Then have the woman lean forward tosee if her breasts hang evenly (Figure G-3c).Figure G-3a, b and c. Appearance of Breasts (left to right): Arms over Head, Hands on Hips, Leaning ForwardCervical Cancer Prevention Guidelines for Low-Resource Settings G-5