Breast Cancer Awareness: Know Your Normal and Know When to Get Checked

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October is Breast Cancer Awareness Month, but breast awareness should not be limited to one month of the year.

Breast cancer is the most common cancer in the UK, and while most breast changes are not cancer, it is important to know what is normal for you and seek medical advice when something changes. Cancer Research UK confirms that common warning signs can include a new lump or thickening, changes in breast size or shape, skin changes, nipple changes and unexpected nipple discharge.

At Surrey Skin Care, we believe good health and confidence go together. Surrey Skin Care is part of CEDA Healthcare and works alongside our wider private medical services, including Private GP Clinic. This gives patients access not only to skin and aesthetic care, but also to medical assessment and diagnostic services where appropriate. Surrey Skin Care currently operates from locations including West Byfleet, Sunningdale, Wokingham, Farnham, Reigate and Putney.

For patients who require further investigation of a breast concern, access to breast ultrasound is available through our associated Private GP Clinic diagnostic service.


Breast Awareness Starts With Knowing What Is Normal for You

There is no single way breasts should look or feel.

Breasts naturally vary between individuals, and they can also change throughout life because of:

  • Menstrual cycles
  • Pregnancy
  • Breastfeeding
  • Hormonal changes
  • Menopause
  • Ageing

The aim of breast awareness is therefore not to search for something abnormal every day.

It is to become familiar with your normal.

The NHS recommends checking your breasts or chest regularly, around once a month, because familiarity makes it easier to notice new changes.

A simple approach is:

Look. Feel. Notice. Act if something changes.


7 Breast Changes You Should Get Checked

Many breast symptoms are caused by benign conditions.

However, certain changes should not be ignored.

1. A New Lump in the Breast or Armpit

A new lump is one of the most common reasons people seek medical advice.

Most breast lumps are not cancerous, but the NHS advises that any new lump in the breast or armpit should be checked by a GP.

Benign causes can include:

  • Breast cysts
  • Fibroadenomas
  • Hormonal changes
  • Normal breast tissue variations

The important point is that you cannot reliably determine the cause simply by feeling the lump yourself.


2. A Change in the Size or Shape of a Breast

It is normal for breasts to be slightly different in size.

What matters is a new or unexplained change.

If one breast changes in shape, contour or size and this is not normal for you, arrange an assessment.


3. Skin Dimpling, Puckering or Changes in Texture

Look for changes such as:

  • Dimpling
  • Puckering
  • Thickened skin
  • Orange-peel appearance
  • Persistent redness
  • Skin colour changes

These signs do not automatically mean cancer, but they should be assessed.


4. Changes to the Nipple

Seek medical advice if you notice:

  • A nipple becoming inverted when it was not previously
  • A new change in nipple position
  • Persistent rash around the nipple
  • Scaling or crusting
  • Unusual change in appearance

Again, these can have benign causes, but new changes deserve attention.


5. Unexpected Nipple Discharge

Nipple discharge outside pregnancy or breastfeeding should be discussed with a clinician, particularly if it is bloodstained.


6. Swelling in the Breast, Chest or Armpit

Breast awareness also includes the area around the breast.

The NHS advises seeking medical assessment for swelling or a lump in the breast, chest or armpit.


7. Persistent Pain or Discomfort

Breast pain by itself is not usually a symptom of breast cancer.

However, persistent pain, particularly when associated with other changes, should still be assessed.

The NHS advises seeing a GP if breast or armpit pain does not go away.


Found a Breast Lump? Do Not Panic, But Do Not Ignore It

Finding a lump can understandably cause anxiety.

However, most breast lumps are harmless.

Common causes include fluid-filled cysts and fibroadenomas.

That does not mean a new lump should be ignored.

The correct next step is clinical assessment.

A GP may:

  1. Ask when you first noticed the change
  2. Review your medical history
  3. Ask about family history
  4. Examine the breast and armpit
  5. Decide whether further imaging or referral is appropriate

If further investigation is needed, imaging such as mammography or ultrasound may form part of the diagnostic pathway.


Where Does Breast Ultrasound Fit In?

A breast ultrasound scan uses high-frequency sound waves to create images of the tissues inside the breast.

It does not use ionising radiation.

Breast ultrasound may be used:

  • As a first imaging test in some patients with a breast lump
  • To investigate a lump that has not appeared clearly on mammography
  • To assess whether a lump is solid or fluid-filled
  • Alongside mammography and breast examination
  • To guide a biopsy where required

Cancer Research UK states that breast ultrasound usually takes around 10 to 15 minutes and is considered a very safe investigation.


Can Ultrasound Tell Whether a Breast Lump Is Cancer?

Not always.

This is an important distinction.

A breast ultrasound can provide valuable information about the structure and characteristics of a lump, but it does not automatically confirm or rule out cancer.

For example, ultrasound may help determine whether a lump is:

  • Fluid-filled
  • Solid
  • Irregular
  • Suitable for further investigation

If a solid or suspicious abnormality is identified, further tests may be recommended.

These can include:

  • Mammography
  • Specialist breast examination
  • Biopsy

Cancer Research UK describes breast diagnosis as potentially involving a combination of examination, mammography, ultrasound and biopsy.


Breast Ultrasound vs Mammogram: What Is the Difference?

These two tests have different roles.

Breast Ultrasound

Ultrasound uses sound waves.

It is particularly useful for assessing specific lumps or areas of concern and can help distinguish between cystic and solid abnormalities.

Mammogram

A mammogram uses low-dose X-rays to create detailed images of the breasts.

Mammography is also the principal imaging method used in breast screening programmes.

In symptomatic patients, mammography may be used together with ultrasound and clinical examination.

These tests are therefore complementary rather than interchangeable.


Does a Breast Ultrasound Replace NHS Breast Screening?

No.

A private breast ultrasound should not be viewed as a substitute for routine NHS breast screening when you are eligible.

Breast screening is designed to look for early changes in people who do not have symptoms.

Diagnostic ultrasound is used for a different purpose, usually to investigate a specific symptom or area of concern.

If you have a breast symptom, do not wait for your next routine screening appointment.

Speak to a GP.


Why Ultrasound Is Often Useful in Younger Women

Breast tissue tends to be denser in younger women.

This can make mammograms more difficult to interpret in some cases.

Cancer Research UK notes that patients under 40 with a breast lump are more likely to have ultrasound as their first imaging test.

However, the correct imaging pathway depends on the individual.

Factors include:

  • Age
  • Symptoms
  • Examination findings
  • Previous imaging
  • Family history
  • Clinical risk

The decision should therefore be guided by a healthcare professional.


What Happens During a Breast Ultrasound?

A breast ultrasound is generally straightforward.

During the appointment:

  1. You will usually undress from the waist upwards.
  2. You lie on an examination couch.
  3. Gel is placed over the area being assessed.
  4. A handheld ultrasound probe is moved over the breast.
  5. Images appear on a screen in real time.
  6. The armpit may also be examined if clinically appropriate.

There is usually no special preparation required.

Cancer Research UK states that the scan itself usually takes around 10 to 15 minutes.


Breast Health and Surrey Skin Care

Surrey Skin Care is best known as a doctor-led aesthetics and dermatology clinic, but the business forms part of the wider CEDA Healthcare group and works alongside private GP services. Its website explicitly states that Surrey Skin Care also specialises in GP services and links patients into the wider CEDA Healthcare medical network.

This matters because skin, aesthetic and general health concerns do not always exist in isolation.

Patients who notice a breast concern should not simply treat it as a cosmetic issue.

Medical symptoms require medical assessment.

Where appropriate, patients can access GP assessment and diagnostic ultrasound through the associated Private GP Clinic service.


Why Early Assessment Matters

Breast Cancer Awareness Month is often associated with pink ribbons and fundraising.

But the most important message is behavioural:

notice changes and act on them.

The NHS advises seeing a GP if you develop a breast or armpit lump or any breast or nipple change that is not normal for you. nhs.uk

Waiting does not make a concerning symptom easier to assess.

If the cause turns out to be benign, you gain reassurance.

If further investigation is needed, you are already moving through the correct pathway.


How to Check Your Breasts at Home

There is no single perfect technique.

The goal is simply to become familiar with your own body.

The NHS advises checking approximately once a month.

Stand in front of a mirror and look for:

  • Shape changes
  • Skin dimpling
  • Swelling
  • Nipple changes
  • Colour changes

Feel:

  • The whole breast
  • Around the nipple
  • Towards the collarbone
  • Into the armpit

Use a comfortable technique that allows you to become familiar with the texture of your own breast tissue.

You are looking for something new or different, not perfection.


What If You Have a Family History of Breast Cancer?

Family history is only one part of breast cancer risk.

However, tell your doctor if close relatives have had:

  • Breast cancer
  • Ovarian cancer
  • Male breast cancer
  • Cancer at a relatively young age
  • A known inherited gene variant associated with breast cancer

Your doctor can decide whether additional risk assessment or specialist referral is appropriate.


Breast Cancer Awareness Is Relevant to Men Too

Breast cancer can also affect men.

It is much less common, but men should still seek medical advice if they notice:

  • A lump in the chest
  • A lump in the armpit
  • Nipple changes
  • Discharge
  • Skin changes
  • Unexplained swelling

Breast awareness is therefore relevant to everyone.


Five Practical Actions for Breast Cancer Awareness Month

Breast Cancer Awareness Month should lead to action, not just awareness.

1. Know Your Normal

Become familiar with how your breasts or chest normally look and feel.

2. Check Regularly

Aim for around once a month.

3. Do Not Ignore a New Lump

Most lumps are benign, but they still need assessment.

4. Attend Screening When Invited

Routine screening remains important even when you feel completely well.

5. Seek Medical Advice for Changes

If something changes, book a GP assessment rather than waiting to see whether it disappears.


Accessing Breast Ultrasound Through Our Wider CEDA Healthcare Services

Surrey Skin Care is part of CEDA Healthcare, which also operates Private GP Clinic.

Through the wider group, patients can access diagnostic services including breast ultrasound where clinically appropriate.

The Private GP Clinic ultrasound service provides diagnostic breast imaging and states that patients can self-refer for most ultrasound scans.

This allows Surrey Skin Care patients to move into an appropriate medical pathway when a concern goes beyond aesthetics or dermatology.

Breast ultrasound should still be viewed as part of a diagnostic process, not as a replacement for GP assessment, mammography or specialist breast services where these are required.


Concerned About a Breast Change?

If you notice something that is not normal for you, do not ignore it.

Most changes will not be cancer.

But reassurance should come from proper assessment rather than assumption.

At Surrey Skin Care, our wider connection with CEDA Healthcare means patients can access both clinical consultation and diagnostic services when required.

For breast ultrasound and related diagnostic services, patients can be directed to the associated Private GP Clinic ultrasound service.

Telephone: 0300 124 7600

Surrey Skin Care currently operates clinics in West Byfleet, Sunningdale, Wokingham, Farnham, Reigate and Putney.


Frequently Asked Questions

Can ultrasound detect breast cancer?

Ultrasound can identify abnormalities and provide useful information about a breast lump, but it cannot always confirm whether a lump is cancerous. Further tests such as mammography or biopsy may be required.

Is breast ultrasound painful?

Most patients find breast ultrasound comfortable. Some pressure may be felt when the probe moves over the breast, particularly if the area is tender.

Does breast ultrasound use radiation?

No. Breast ultrasound uses sound waves and does not involve ionising radiation.

How long does a breast ultrasound take?

Cancer Research UK states that a typical breast ultrasound takes around 10 to 15 minutes.

Should I book ultrasound first if I find a lump?

A new breast lump should first be medically assessed. A GP can determine whether ultrasound, mammography or specialist breast referral is most appropriate.

Is ultrasound better than a mammogram?

Neither test is simply “better”. They have different roles. Mammography and ultrasound are often used together depending on age, symptoms and clinical findings.

Can younger women have breast ultrasound?

Yes. Ultrasound is often used as the first imaging investigation in younger women with breast symptoms because younger breast tissue tends to be denser.

Do most breast lumps turn out to be cancer?

No. Most breast lumps are benign, but they should still be checked by a GP.

Should men check for breast changes?

Yes. Men can also develop breast cancer and should seek medical advice if they notice a new chest or nipple change.

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