Breast Skin Issues: What Your Symptoms Might Mean - Breast and Thyroid

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Breast issues


I would like to ask about a red circular spot that appeared on my chest, approximately 2 centimeters in size.
Initially, one appeared on the right side and disappeared after several days.
Shortly after, another one developed on the left side.
The appearance of the red spot has blood vessels around it, and after a few days, it crusts over on its own.
Once, I accidentally tore off the crusted area, which was a bit painful, and when I squeezed it, a substance similar to pus came out.
After that, it turned into a small red spot.
Strangely, this red spot sometimes appears suddenly, although it is smaller, and sometimes it disappears on its own, so I haven't paid much attention to it.
Today, I noticed that the dark red spot on the left side has developed a small cluster of blood vessels on top, and the larger red spots are mostly located on the outer upper part of my chest.
Could this possibly be malignant? I'm a bit scared.
😖

Ling, 20~29 year old female. Ask Date: 2021/11/13

Dr. Yuan Tianmin reply Breast and Thyroid


It doesn't seem like a malignant appearance, but it's still advisable to consult a dermatologist about these red spots.

Reply Date: 2021/11/13

More Info


Breast skin issues can be concerning, especially when they present with symptoms like red spots, discharge, or changes in texture. Based on your description, it seems you are experiencing a series of red spots on your breast, which may be accompanied by blood vessels and scabbing. While it’s understandable to feel anxious about these symptoms, it’s important to approach the situation with a clear understanding of what might be happening.

Firstly, the appearance of red spots on the breast can be attributed to several benign conditions. Common causes include:
1. Folliculitis: This is an inflammation of the hair follicles, which can lead to red bumps that may resemble pimples. They can become painful and may ooze pus if they become infected.

2. Seborrheic Keratosis: These are non-cancerous growths that can appear as raised, scaly patches on the skin. They are usually harmless but can sometimes become irritated.

3. Contact Dermatitis: This occurs when the skin reacts to something that it has come into contact with, such as soaps, lotions, or fabrics. It can cause redness, itching, and sometimes blistering.

4. Eczema or Psoriasis: These chronic skin conditions can also manifest on the breast, leading to red, itchy patches that may flake or ooze.

5. Infections: Bacterial or fungal infections can cause localized redness and discharge. If the area is painful and has pus, it may indicate an infection that requires treatment.

While these conditions are generally benign, it’s crucial to monitor the symptoms closely. If the red spots persist, change in appearance, or are accompanied by other symptoms such as fever, significant pain, or swelling, it would be wise to consult a healthcare professional. They may recommend a physical examination and possibly a biopsy to rule out any serious conditions, including skin cancer.

Regarding your concern about the possibility of malignancy, it’s important to note that while breast cancer can present with skin changes, it typically involves other symptoms such as a palpable lump, changes in breast shape or size, or persistent skin changes that do not resolve. The intermittent nature of your symptoms, along with the fact that they seem to resolve on their own, is more suggestive of a benign process.

In the meantime, here are some general recommendations for managing your symptoms:
- Keep the Area Clean: Gently wash the affected area with mild soap and water to prevent infection.

- Avoid Irritants: If you suspect that certain products may be causing irritation, try to eliminate them from your routine.

- Moisturize: If dryness is an issue, applying a fragrance-free moisturizer may help soothe the skin.

- Avoid Picking: Refrain from picking at scabs or spots, as this can lead to infection or scarring.

If you are still feeling anxious about your symptoms or if they worsen, seeking a consultation with a dermatologist or a healthcare provider specializing in breast health is advisable. They can provide a thorough evaluation and appropriate management based on your specific situation. Remember, early intervention is key to addressing any potential issues effectively.

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