Horizontal, Intermittent Breast Dimple/indentation

Question

Asked by blondeoverblue

Horizontal, Intermittent Breast Dimple/indentation

I recently noticed that when I raise my hands over my head (no idea if this is new this is the one part of the BSE I'd never heard before) that I have a slight indentation (horizontal) on the interior of breast. It's not consistent, it seems vary whether it's there with my cycle, and is present in the same location on both breasts but slightly more pronounced on my right breast when it is visible. There is no lump. I've felt to the point of making myself sore. My doctor has diagnosed me (about 3 months ago) with cystic breasts. I realize this may just be normal for my anatomy, but googling scared me. Are there other possible causes besides cancer since there isn't a lump, I have no rash, no p'eau d orange, etc.?

Answer

You will be relieved to know that the kind of dimple you are describing is not the kind that is a symptom of inflammatory breast cancer (IBC). It sounds like your dimple shows up when your breast is more swollen at certain points in your menstrual cycle. It could also be caused by a breast cyst pushing out in one area leading to a dimple nearby. You will want to observe this place to make sure that it doesn't become permanent or more pronounced. That might indicate a lump is growing. One of my doctors cautioned about checking too often. She said that it is easier to notice changes if you check once a month. If you check every day, it's easier to overlook gradual change. When the IBC causes a breast to swell, often the connective tissue doesn't stretch with the skin. That leads to lots of little pits like the skin of an orange. When the breast self exam directions say to look for dimples, they are referring to both kinds of dimples: the little pits caused by generalized swelling and a larger dimple caused by a lump distorting the shape of the breast. Because this has been a "come and go" symptom and because you know you have breast cysts, I don't think you need to worry right now.

Answered by Phyllis Johnson