Breast dimpling, also known as orange peel appearance (peau d' orange), is a symptom of possible breast cancer that requires immediate medical attention. Any unusual change in the appearance, texture, skin temperature or size of a breast should be immediately discussed with a doctor. Dimpling or puckering in the breast skin may relate to a tumor near the upper layer of skin, and the tumor may be blocking the lymphatic system and causing a build up of fluids.
Inflammatory Breast Cancer
Breast dimpling may be a sign of inflammatory breast cancer 2. The National Cancer Institute (NCI) states that this cancer is a "rare but very aggressive cancer...in which cancer cells block the lymph vessels of the breast." Inflammatory breast cancer may cause "the skin to have ridges or appear pitted, like the skin of an orange." The NIC warns that these symptoms may appear rapidly, within just a few weeks 2. This breast dimpling is caused by an excess of fluids in the breast due to blockage of the lymph draining system. Any sign of a tumor or breast dimpling may indicate possible cancer.
Breast Lymphadenopathy
Early Warning Signs of Inflammatory Breast Cancer
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Breast lymphadenopathy may cause dimpling of the breast skin. With this disorder, swelling may occur in a breast and also the arm on that side of the body. A change in size of the lymph nodes may also occur if cancer cells move into the node. Any unusual dimpling or swelling of the breast or nearby node may be a symptom of cancer should be immediately checked by a doctor. Breast dimpling will not clear on its own; do not wait to report this symptom.
- Breast lymphadenopathy may cause dimpling of the breast skin.
Breast Ulcer
A breast ulcer may cause dimpling of the breast skin. A breast ulcer is a round, red area on the skin of the breast that is inflamed and may also ooze pus. A breast ulcer may be a symptom of advanced breast cancer.
Treatment for Symptoms of Breast Dimpling
Breast Cancer & Nipple Symptoms
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A doctor may order tests such as a mammogram, biopsy, and ultrasound when a breast has an occurrence of dimpling in the skin. If inflammatory breast cancer is diagnosed, the National Cancer Institute notes that treatment may include:
- "chemotherapy
- targeted therapy
- surgery
- radiation therapy
- hormonal therapy
2"
Prevention of Breast Cancer
The Centers for Disease Control describe a myriad of health habits to develop help prevent breast cancer 1. The CDC recommends the tactics of "controlling weight, exercising, knowing the family history of breast cancer and discussing it with a doctor, finding out risks/ benefits of hormone therapy and limiting the amount of alcohol consumed." According to the CDC, about 40,000 women die from breast cancer annually in America. Thus, preventive measures are crucial.
- The Centers for Disease Control describe a myriad of health habits to develop help prevent breast cancer 1.
- According to the CDC, about 40,000 women die from breast cancer annually in America.
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References
- Center for Disease Control Information about Breast Cancer Symptoms
- Breast Skin Irregularities and Inflammatory Breast Cancer
- National Cancer Institute. Breast Cancer Risk in American Women. Updated October 3, 2019.
- Centers for Disease Control and Prevention. What Are the Symptoms of Breast Cancer? Updated September 11, 2018.
- U.S. Breast Cancer Statistics. BreastCancer.org. Updated February 13, 2019.
- Rousset-Jablonski C, Gompel A. Screening for familial cancer risk: Focus on breast cancer. Maturitas. 2017;105:69-77. doi:10.1016/j.maturitas.2017.08.004
- Liu Y, Nguyen N, Colditz GA. Links between alcohol consumption and breast cancer: a look at the evidence. Womens Health (Lond). 2015;11(1):65-77. doi:10.2217/whe.14.62
- Lam DL, Houssami N, Lee JM. Imaging Surveillance After Primary Breast Cancer Treatment. AJR Am J Roentgenol. 2017;208(3):676-686. doi:10.2214/ajr.16.16300
- Sharma GN, Dave R, Sanadya J, Sharma P, Sharma KK. Various types and management of breast cancer: an overview. J Adv Pharm Technol Res. 2010;1(2):109-126.
- American Cancer Society. Invasive Breast Cancer (IDC/ILC). Updated September 20, 2019.
- Metastatic Breast Cancer Network. Incidence and Incidence Rates. 2019.
- Centers for Disease Control and Prevention. How Is Breast Cancer Treated? Updated September 11, 2018.
- McArthur H.Combining Chemotherapy and Immunotherapy for the Treatment of Triple-Negative Breast Cancer.Oncology (Williston Park). 2019 Apr 15;33(4). pii: 624508.
- Niell BL, Freer PE, Weinfurtner RJ, Arleo EK, Drukteinis JS. Screening for Breast Cancer.Radiol Clin North Am. 2017 Nov;55(6):1145-1162. doi: 10.1016/j.rcl.2017.06.004.
- Rousset-Jablonski C, Gompel A.Screening for familial cancer risk: Focus on breast cancer. Maturitas. 2017 Nov;105:69-77. doi: 10.1016/j.maturitas.2017.08.004. Epub 2017 Aug 7.
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