Suggested Books To Read During Your General Surgery Residency (Read More)
Bailey & Love's Surgery, 27th Edition Surgery Essence by Pritesh Singh (PGMEE) Sabiston's Textbook of Surgery
Farquharson's Textbook of Operative General Surgery, 10th Edition Surgery Sixer for NBE by Rajamahendran Surgery PreTest Self-Assessment and Review, Thirteenth Edition
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Skin Puckering and Peau d orange appearance in Breast Cancer

Puckering and Peau d orange in Breast Cancer
A) Puckering/ Skin Retraction B) Peau d' Orange appearance
A) Shows skin retraction/ puckering
More than 80% of breast cancers show productive fibrosis that involves the epithelial and stromal tissues. With growth of the cancer and invasion of the surrounding breast tissues, the accompanying desmoplastic response entraps and shortens Cooper’s suspensory ligaments to produce a characteristic skin retraction. 

B) Shows peaud’orange appearance
Localised edema (peau d’orange) develops when drainage of lymph fluid from the skin is disrupted    

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