Red Spots on the Breast: What You Need to Know - Breast and Thyroid

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Chest issues


Occasionally, a red spot with some blood vessels appears on the skin of my chest.
Sometimes it disappears on its own, but later it reappears in a different location, and it is always on the skin of the right side of my chest.
I'm very worried that this might be something serious.
🥲

Ling Ling, 20~29 year old female. Ask Date: 2023/01/04

Dr. Yuan Tianmin reply Breast and Thyroid


It is suspected to be an allergic reaction; however, if these symptoms occur again, it is advisable to have a dermatologist examine it.

Reply Date: 2023/01/04

More Info


When it comes to red spots on the breast, particularly those that appear with blood vessels or seem to change location, it’s essential to approach the situation with caution and seek medical advice. The symptoms you describe could be indicative of several conditions, ranging from benign to more serious issues.
Firstly, the presence of red spots, especially if they are accompanied by blood vessels, could suggest a variety of dermatological conditions. One possibility is a benign skin lesion, such as a cherry angioma, which is a small, benign growth made up of small blood vessels. These are usually harmless and can appear anywhere on the body, including the breast. They can sometimes bleed or become irritated, leading to the appearance of blood vessels.

Another possibility is a dermatological condition such as eczema or dermatitis, which can cause red, itchy patches on the skin. If these spots are itchy or painful, it could indicate an inflammatory response, possibly due to an allergic reaction or irritation from clothing, such as bras that are too tight or made from irritating materials.

However, it’s crucial to consider the possibility of more serious conditions, such as infections or even skin cancers. For instance, inflammatory breast cancer can present with symptoms such as redness, swelling, and warmth in the breast, along with changes in the skin texture. While this is rare, it underscores the importance of not dismissing persistent or changing symptoms.

Given that the spots you describe sometimes disappear and then reappear in different locations, it’s advisable to monitor them closely. Take note of any changes in size, color, or texture, as well as any associated symptoms like pain or itching. If the spots persist, worsen, or are accompanied by other symptoms such as discharge, swelling, or changes in breast shape, it is crucial to consult a healthcare professional. A dermatologist or a breast specialist can perform a thorough examination and may recommend imaging studies or a biopsy if necessary.

In the meantime, here are some general tips for managing skin health in the breast area:
1. Maintain Hygiene: Keep the area clean and dry. Use mild soap and avoid harsh chemicals that could irritate the skin.

2. Wear Comfortable Clothing: Opt for well-fitting bras made from breathable materials to minimize irritation.

3. Avoid Scratching: If the spots are itchy, try to avoid scratching, as this can lead to further irritation or infection.

4. Monitor Changes: Keep a record of any changes in the spots, including when they appear, how long they last, and any associated symptoms.

5. Seek Medical Attention: If you notice any concerning changes, such as increased redness, swelling, or pain, or if the spots do not resolve, seek medical advice promptly.

In conclusion, while red spots on the breast can often be benign, it is essential to approach any new or changing skin lesions with caution. Regular self-examinations and consultations with healthcare professionals are key to ensuring breast health and addressing any potential issues early on.

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