Evaluation History History includes the following: Presence and type of pain or discharge and duration of symptoms Relation of symptoms to menses and pregnancy Presence of skin changes Use of hormone therapy Personal and family history of breast cancer Date and results of last mammogram Breast examination Breasts are inspected for asymmetry in shape (bulging, irregular contour), nipple abnormalities (inversion, retraction, discharge, crusting), and skin changes (dimpling, retraction, edema, erythema, scaling, ulceration—see figure Breast examination: A and B for usual positions).