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Topic: Red patch on breast

Forum: Benign Breast Conditions —

A safe place to worry for members who have not been diagnosed with breast cancer, but have concerns about their breasts.

Posted on: Jul 30, 2020 08:42AM

Mary1977 wrote:

So I am a a member of the 6 month let’s watch and wait brigade , I currently have BIRADS 3 for left breast. My next u/s should be November . However for about 6 weeks I have a red patch on left breast about size of a Canadian dollar, doesn’t itch not inflamed just there never goes away. My dr is sending me for a mammogram which I am having tomorrow , should I be concerned?

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Jul 30, 2020 09:04AM MelissaDallas wrote:

I personally would assume a red patch that didn’t change was a fungal or other skin issue. Did your doctor offer any opinion as to what he thought this small red patch might most likely be? Tell you any OTC or prescription meds to try in addition to sending you for a mammogram? Your findings on your last imaging were not particularly concerning. If it were me ,my though would be that a skin lesion that happened to be on my breast was exactly that- just a skin issue. I’d probably try putting some cortisone cream or athletes foot cream on it.

LCIS, extensive sclerosing adenosis, TAH/BSO & partial omentectomy for mucinous borderline ovarian tumor.
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Jul 30, 2020 09:38AM - edited Jul 30, 2020 09:44AM by Mary1977

no the dr didn't give an opinion . It's not fungal it's not raised or scaly . Just a red patch , I'd post a pic but think it's against the rules. Like a bruise but pink

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Jul 30, 2020 10:15AM MelissaDallas wrote:

If yo are worried about IBC, it generally progresses very rapidly, in days, if not hours. The fact it has been stable for six weeks makes it very unlikely that something on your skin has anything to do with any “breast” issue. I can’t imagine having a doctor who would not at least weigh in as to some differential diagnoses or possibilities as to what any small pink patch on my skin could be. Most of mine would have at least told me several things it was most likely to be.

LCIS, extensive sclerosing adenosis, TAH/BSO & partial omentectomy for mucinous borderline ovarian tumor.
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Jul 30, 2020 10:20AM Mary1977 wrote:

no he didn’t . I’m really not worried as such more curious as to why the mammogram . I should have e asked

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Jul 30, 2020 10:29AM MelissaDallas wrote:

I personally would have wanted to know why he was sending me for a mammogram for athletes foot or ringworm or eczema and not telling me to try some skin cream or antibiotics first.

LCIS, extensive sclerosing adenosis, TAH/BSO & partial omentectomy for mucinous borderline ovarian tumor.
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Jul 30, 2020 01:24PM Beesie wrote:

Is the red patch anywhere near whatever was seen on your last imaging that led to the BIRADs3? What was the reason for the BIRADs3?

If not, I don't know either why your doctor is sending you for a mammogram. I would have been asking for a referral to a dermatologist, since a small stable non-aggressive red mark on the skin is much more likely to be a skin condition than a breast condition.

Assuming the mammo tomorrow is fine, and assuming you don't encounter significant and concerning breast changes,I'd suggest you ask for the dermatologist referral.

Let us know how it goes.

“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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Jul 30, 2020 02:08PM Mary1977 wrote:

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Jul 30, 2020 02:10PM Mary1977 wrote:

this was last report. I will update for sure

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Jul 30, 2020 06:53PM alto wrote:

Has your doctor mentioned a skin punch biopsy? That's the best way to figure out if it's a skin issue - and what it is.

I am one of the cautionary tales. I had a red patch on my breast that turned out to be Paget's disease of the breast. They did ultrasounds and mammos first, but those didn't find anything. It took me about 5 years to get a diagnosis - I finally got a dermatologist to do a skin punch biopsy. I didn't realize this was the only way to know.

So I would not hesitate to be persistent and ask questions and even be pesky, if what's going on with your breast does not seem normal to you, and you're not sure what they're looking for. Even if it's not likely to be Paget's, having a big red mark on your skin has a reason, and it's probably good to know what it is.

I hope you get some answers soon!

Diagnosed at 42. Had symptoms of Paget's for years prior to positive biopsy. No Tamox because low% ER. Dx 11/2/2018, Paget's, Right, Stage 0, Grade 3, ER-/PR-, HER2+ (IHC) Surgery 11/10/2018 Lumpectomy: Right Dx 11/29/2018, DCIS/Paget's, Right, 1cm, Stage 0, Grade 3, ER-/PR- Surgery 12/18/2018 Lumpectomy: Right; Lymph node removal: Sentinel Dx 12/21/2018, DCIS, Right, 2cm, Stage 0, Grade 3, 0/2 nodes, ER-/PR- Surgery 1/15/2019 Mastectomy: Right
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Jul 30, 2020 07:20PM Mary1977 wrote:

what was your patch like mine is just like a pink bruise

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Jul 31, 2020 01:57PM MinusTwo wrote:

Mary - note alto said that her DERMATOLOGIST did a skin punch biopsy. You really to need to go see a skin specialist - aka a Dermatologist.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Jul 31, 2020 07:41PM - edited Jul 31, 2020 07:46PM by alto

It was pink (I have pale skin), in the light it had a shiny surface, and it had defined borders. It was not scaly or super red, or any of the more extreme things doctors say it should look like. It was not too bothersome in the first few years, but eventually developed a rather constant pin-prick sensation.

Yes, a dermatologist was the route I should have started with, but I didn't know that and it seems like my doctor didn't either. I thought I was doing the right thing by seeing the breast cancer team she sent me to. Turns out they have a pretty poor record on this kind of thing. I sat in front of doctors, radiologists, NPs who didn't know what they were looking at - even someone on the breast cancer team said, "You'd hardly think it's anything." And at that point it was extensive - inches wide.

Hopefully it's not at all the same thing - odds are good it's not - but I just wanted to share that bit of knowledge, that if you have a weird colored patch they can take a small piece of skin and look at it under a microsope and tell you whether it's cancer or eczema or psoriasis, and better to know so you can treat it correctly. Mammos and other breast diagnostic tests are just not helpful for diagnosing Paget's, and many doctors don't know this. Sigh. :(

Diagnosed at 42. Had symptoms of Paget's for years prior to positive biopsy. No Tamox because low% ER. Dx 11/2/2018, Paget's, Right, Stage 0, Grade 3, ER-/PR-, HER2+ (IHC) Surgery 11/10/2018 Lumpectomy: Right Dx 11/29/2018, DCIS/Paget's, Right, 1cm, Stage 0, Grade 3, ER-/PR- Surgery 12/18/2018 Lumpectomy: Right; Lymph node removal: Sentinel Dx 12/21/2018, DCIS, Right, 2cm, Stage 0, Grade 3, 0/2 nodes, ER-/PR- Surgery 1/15/2019 Mastectomy: Right
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Aug 1, 2020 06:09AM Mary1977 wrote:

had my mammogram and ultrasound yesterday the sonography said not to worry nothing suspicious. No one seemed concerned about the red patch . I’ll just keep my eye I guess. I’ll update once I receive copy of report. Thank you everyone

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Aug 1, 2020 06:41AM Beesie wrote:

That's good news, and not unexpected.

Keep in mind that no one is concerned about this from a breast perspective because there is nothing to indicate that this is a breast condition - it is most likely a skin condition. If your breast imaging is clear, a breast imaging facility isn't going to be concerned about a skin condition. So if the red patch doesn't resolve on it's own and you get concerned again, or if you just want to know what it is and do something to get rid of it, see a Dermatologist.

“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke
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7 hours ago Mary1977 wrote:

just a quick update , I attended the dr today to get my ultrasound report I saw a dr in emergency as mine was on holiday I’ve seen her plenty before we live in small town . My u/s results were not reported yet although the sonographer already told me nothing suspicious. I showed her the red patch she said it looks “odd” and whilst she said red patches can appear anywhere , it is always concerning when on breast . I have a follow up appointment with the breast surgeon on the 20th (this all originally started with bleeding nipple for other breast which only happened couple of times ) tonight it’s started burning sensation . It’s not spread and from what I’ve read ibc spreads fast (the rash). I know it’s very rare but breast cancer runs in my family my grandma and her sister both had it and my great aunts daughter passed from ovarian cancer . My mum never has had a mammogram in her life !

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