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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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