Then move a bit more medially, and examine while traveling up towards the top of the breast. Have the patient remove their arms from the sleeves of the gown - though keep both breasts covered by laying the garment on top of their chest. It's worth noting that breast symptoms may be caused by diseases elsewhere in the body. That's because breast self-exams haven't been shown to be effective in detecting cancer or improving Breast examination procedure for women who have breast cancer. This is concerning for a mass growing Breast examination procedure the nipple.