Breast skin laxity and peau d'orange?
Hello Doctor: I usually notice that my breast skin appears to have a bumpy texture similar to goosebumps whenever I take off my bra or when it's cold.
This lasts for a few minutes before it smooths out.
Additionally, I have lost weight (around 20 kilograms), and I've noticed some sagging of the breast skin.
I'm a bit worried that this could be a symptom of breast cancer, such as peau d'orange.
I had a breast ultrasound last August, and no lumps or abnormalities were found.
Miss Zhang, 30~39 year old female. Ask Date: 2018/04/20
Dr. Yuan Tianmin reply Breast and Thyroid
It doesn't sound like breast cancer; it's still possible to seek outpatient treatment even after six months.
Reply Date: 2018/04/20
More Info
Breast skin changes can be concerning, especially when they manifest as unusual textures or colors. In your case, the appearance of skin resembling "chicken skin" or having a dimpled texture, particularly when you remove your bra or in response to cold, is likely a benign condition rather than a direct indicator of breast cancer. This phenomenon is often related to the contraction of the skin and underlying tissues in response to temperature changes or the removal of supportive garments like bras.
The skin's reaction to temperature changes can cause temporary changes in texture, such as the appearance of small bumps or a rough texture, which usually resolves quickly once the skin warms up. This is a normal physiological response and not typically associated with malignancy. Additionally, significant weight loss can lead to changes in skin elasticity, resulting in a looser appearance of the skin, which can also contribute to the dimpled or uneven texture.
Regarding your concerns about the possibility of these symptoms being related to breast cancer, it is important to note that breast cancer symptoms often include persistent changes such as lumps, unusual discharge, or significant alterations in the shape or contour of the breast. The "orange peel" appearance, known medically as peau d'orange, is typically associated with inflammatory breast cancer and is characterized by a persistent dimpled texture, often accompanied by other symptoms such as swelling or redness. Since you have had a breast ultrasound recently that did not reveal any lumps or abnormalities, this is reassuring.
However, it is always wise to remain vigilant about breast health. Regular self-examinations and routine screenings, such as mammograms or ultrasounds, are essential for early detection of any potential issues. If you notice any new or persistent changes in your breast skin, or if you experience any other symptoms such as pain, swelling, or unusual discharge, it is advisable to consult with a healthcare professional for further evaluation.
In terms of treatment or management of the skin changes you are experiencing, maintaining good skin hydration can be beneficial. Using a gentle moisturizer can help improve skin texture and elasticity, especially after weight loss. If you find that the skin changes are bothersome or persistent, a dermatologist can provide tailored advice and treatment options.
In summary, while your symptoms may be concerning, they are more likely related to benign physiological changes rather than breast cancer. Regular monitoring and consultation with healthcare providers will help ensure your breast health remains a priority. If you have any further concerns or if your symptoms change, do not hesitate to seek medical advice.
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