Just Diagnosed with Cancer? Chat with Experts

Tuesday, April 14, 2009 Louise asks

Q: A couple of weeks ago I asked about a red, flat rash that had appeared under my right breast.

When I initially went to the GP she felt that it could be an allergy and gave me antihistamine and cortisone cream. The rash faded to a very pale rose colour but it still persisted. I had a mammogram done two days after the rash appeared and this was clear. Due to the persistence of the rash I went back to the GP and she referred me to a surgeon specialising in breast cancer. He did a thorough examination, comparing both breasts, took a detailed history and checked the mammograms as well. The referral letter from the GP asked about the possibility of IBC but he felt that this was not an issue. he thinks that the rash is skin related rather than breast tissue related and said to see him again in a month. I am now experiencing discomfort (funny feelings) in the same breast, although the rash has not worsened, nor have I any evidence of itching, nipple itching, flaking of nipples, skin changes, swelling, heat, nipple inversion etc - just this strange sensation that I can't even describe.

I have been doing a lot of knitting and computer work over the past 2 weeks (I am right handed) and am experiencing real pain in my neck and shoulder, sometimes with numbness radiating down my inderarm to my little finger, accompanied with pins and needles. I am now wondering if the sensation I feel in my breast is referred from muscle spasms in my neck and shoulder brought on by my real concern about the possibility of cancer.

I am also wondering if you have heard of any cases of discomfort of this sort due to psychosomatic causes? I am a real panicker!

Do you think I should seek a second opinion right now or wait to see the surgeon again in 2-3 weeks time? I am able to chat to my gynaecologist telephonically tomorrow afternoon but believe that his course of action would be to refer me to a surgeon as well.

If there is any likelihood that this could be inflammatory breast cancer I would hate to waste valuable treatment time.

Answer This
Answers (3)
PJ Hamel, Health Guide
4/14/09 11:17am

Louise, I hope Phyllis will chime in here, as she's our IBC specialist. However, it sounds like you've been doing everything right - as have your doctors. Sounds like you're getting excellent care, and you should stay the course and not go for a second opinion.

 

It's a very stressful time for you, I'm sure. And yes, your mind can be a powerful influence on your body. Stress and worry can bring on all kinds of physical symptoms. I think you should validate your fear (it's OK to be afraid); realize it's an emotion (not based on fact; so far, you have a rash, that's it); and try to let it go.

 

Get some exercise; get those endorphins going by taking a brisk walk. Watch a funny movie; whatever you like to do to relax - do it! Worry accomplishes nothing other than making you feel bad. So - assume the best, unless and until you need to do otherwise.

 

Good luck, and please stay in touch here - we can help. PJH

Reply
Phyllis Johnson, Health Guide
4/14/09 5:22pm

Louise, I would concur with PJ's opinion that you and your doctors are following a reasonable course for finding out what is going on.  It is very unusual for an IBC rash to get better with any treatment other than chemo.  The red "rash" associated with IBC occurs because the lymph vessels under the surface of the skin are clogged with cancer cells preventing the flow of the lymphatic fluid.  So usually it looks more like an infection UNDER the skin rather than a surface kind of rash like poison ivy.  But one of the problems in diagnosing IBC is that the presentation varies.  A dermatologist might be the best person to throw in an opinion about what is causing your rash.

Although most of the time there is no lump on the mammogram of an IBC patient, very often there is a change in skin thickness, breast tissue density or symmetry from previous mammos; so be sure to have any previous films compared to these recent ones.

Keep working with your doctors until you are satisfied that you know what has caused that rash (or until it goes away on its own as these things sometimes do before.)

Reply
5/20/09 1:10pm

 I am having the same thing as what you are saying you have. I saw the spot on March 15, 2009. It did not itch. It did not hurt. The creams lighting it up just a few days, then right back to bight red. The last three days I have had pain. It feels like little pins are poking me all at once. I want to know if you found out what is causing this? I have did all the step you have done.

Reply
5/21/09 2:55am

Hi Angelg, when you say you have done all the steps I did, did this include seeing a specialist? My situation is a little different from yours in that my rash has disappeared completely. It took some time but by the time I went for my follow up visit to the surgeon it had gone completely and has not returned. I am still experiencing some discomfort, sometimes the same prickling sensation that you feel so am just keeping a watch on things. As I was particularly concerned about having (uncommon) IBC I was particularly careful to look out for other symptoms or signs such as heat, swelling, skin changes, nipple changes, itching etc., but did not experience any of these - it was just the rash.

My doctor has carried out various other tests and has given me the all clear and made some suggestions for managing the breast discomfort.

I can't impress on you enough that you need to go to a specialist and keep asking questions until you are satisfied that you have explored all avenues regarding the rash and pain. It's really scary, I know, but I think its less scary to know what is causing the problem than just sitting hoping that the rash will go away. So, please go to your doctor and demand to get some answers to put your mind at ease. Remember that knowledge is power. Good luck!

Reply
5/21/09 7:54am

Thank you for anwsering back. I will be seeing a new surgeon specializing in breast cancer on June 1. The little pin pokings are no longer going on. The flat bright spot is still there. I don't have any of the other signs of IBC. If I did not look at the spot I could not even tell it is there. Great news to hear your spot has gone away. I hope you never have another one. I will keep you updated. Thank you again.

Reply
6/18/09 4:07am

Hi Angel,

You have been on my mind quite a bit in the past few weeks. You were due to see the surgeon earlier this month. What was the outcome of your visit? Please let me know.

Louise

Reply
6/18/09 6:59am

Louise,

I did see the surgeon and a biopsy was taken of the affected area, which came back negative.  I am relieved for the negative response, however, the spot is still there and what caused it is still unknown.  I'm due to see another dermatologist soon and hopefully will get an answer. Angel

Reply
6/18/09 8:14am

What wonderful news! I hope they can find out the cause of the spot and help you get rid of that as well! Louise

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

Ask a Question

Get answers from our experts and community members.

Btn_ask_question_med
View all questions (6580) >
By Louise— Last Modified: 12/24/10, First Published: 04/14/09