Breast cancer is the second leading cause of cancer death among women; a properly performed manual examination is an important way of detecting cancer at an early, more treatable, stage. The Life/form® Advanced Breast Exam Simulator offers unparalleled realism for teaching both clinical and self-breast examination. Unlike other simulators, tissue density actually varies within the simulated breast, just as it does in a live patient. Tumors of varying sizes (1-4 cm diameter), shapes (round, oval, irregular/stellate), and densities can be inserted by the instructor for an expanded combination of training scenarios. Tumors represent adenomas, cysts, malignant tumors, and enlarged lymph nodes. The torso is correctly positioned in the supine position and allows access to both axillae. The trainer features palpable ribs, sternum and clavicles, and enlarged lymph nodes in the axillary and subclavicular areas. Peau d’orange (“orange peel skin”) with inflammation, inverted nipple, skin dimpling, and asymmetry are also depicted on the incredibly realistic skin. The Life/form® Advanced Breast Exam Simulator has been designed for supine examination, but may also be used standing upright if desired. Training may also be done without the overlay skin. Includes a rigid underbody, right and left breast inserts, overlay skin, three tumor sets (27 lumps), nine soft lumps to represent soft breast tissue, one hard lump to represent chestwall infiltration, baby powder, hard carrying case, and instruction manual. Torso size: 14″ W x 11″ H x 6″ D. Five-year warranty.