護理師教導病人進行乳房自我檢查，下列哪項為正確程序？
A nurse is teaching a client how to perform a breast self-exam. What is the correct procedure?
- APerform it once a year每年進行一次
- BCheck only the nipple area僅檢查乳頭區域
- CUse the palms of the hands for palpation用手掌進行觸診
- DPalpate in a circular or vertical strip pattern✓ 正解以環形或垂直條紋模式進行觸診
乳房自我檢查（Breast Self-Exam, BSE）的核心在於提升對自身乳房組織的熟悉度，以便早期發現異常變化。正確程序應使用手指腹（finger pads）而非手掌，因為手指腹的觸覺更靈敏，能感應到微小的硬塊。檢查模式包括環形（circular）、垂直線（vertical strip）或放射狀（wedge），並需涵蓋整個乳房組織及腋下淋巴結區域。臨床上，建議在月經週期後約 5-7 天進行，此時乳房組織最柔軟且較少腫脹，能提高檢查準確度。
Breast self-exam (BSE) aims to familiarize the client with her own breast tissue so changes can be detected early. The correct technique uses finger pads (not palms) because they are more sensitive to small lumps. Examination patterns include circular, vertical strip, or wedge, and should cover the entire breast and axillary tail. Clinically, BSE is recommended 5-7 days after menses when the breasts are least tender and swollen, improving accuracy.