Skin Met Symptoms
I apologize for starting a new thread on this topic, I know there have been posts in the past, but I can't seem to find them. Ladies, I am very afraid of skin mets and really, really would like to know what to look for.
I have 2 red rash areas on the edges of my radiation field (one on the top, one on the bottom) that have been around since September. I saw my Onc in October (when I had only one rash area), she said it didn't look like anything to worry about, but to bring it to the attention of the breast surgeon's NP when I saw her in Nov. I did that, she said keep an eye on it and if it grew in size, then let her know. Well, it hasn't grown in size. I just have this new little spot. My DH says both look like eczema to him. My radiation nurse took a quick look one day in December during one of my volunteer stints (I volunteer in the Radiation unit), she gave me cream to ease the dryness and advised me to not wear foobies because I could be having an allergic reaction (the redness is right where they contact my skin). Well, here it is Jan, rash is still there. It occasionally itches and now I feel a sense of "tight skin" ...
Can someone who has dealt with skin mets please, please tell me what they looked like, how they felt, etc, so I can put my mind to rest? I see my oncologist again in 3 weeks ... This will DEFINITELY be in the discussion!!!
Thanks!
Karen
Comments
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Did you not have a rash when you were dx in 2006? If not, what were your symptoms then? When I was dx with IBC this past summer, I had a rash along with hot swollen breast, orange-peel like skin, skin thickening, flattened nipple. My rash did not itch. It was not individual bumps but a raised reddish area that gradually covered more of my breast.
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I had the orange-peel skin, flat nipple plus a very red, swollen breast, the entire breast - really looked like mastitis. The rashes I have now are more like dry skin, with a few pimple-like bumps on the bottom one. I should also note that these irritated areas are where my midriff and breast tissue rub against each other and in a crease in my armpit. The fact the rashes are there is what leads DH to say (over and over, as if convining himself!) that it is a skin irritation of some sort, not skin mets. So having a few other skin met symptoms would help in peace of mind ...
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wups! I meant to close with:
So knowing a few other skin met symptoms to add to the list of what I don't have would help in peace of mind ...
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Hello Karen and sorry you're having worrying about this. What caught my eye on reading your post was the "tight skin" comment. I have been dealing with skin mets since Nov.08. The pictures noted above are nothing like what I had and maybe its cuz I'm a "plumper" person with more sub q fat, I don't know but mine did not look anything like those. Mine started as bumps or feeling like pebbles under the skin of my abdomen going in a row from right to left. So we started abraxane and avastin and within the first treatment they were totally gone and my dr. was amazed but we kept on schedule same chemo.
In April 09 we had to interrupt chemo to do rads to my bone mets and during the first week the bumps returned with a fury, and what I thought was a pimple on my left boob grew and opened up and now is the size of a quarter.
anyway, I did notice when these bumps were coming back my skin felt tight just around those areas .
I don't tell you this to scare you just be aware if you feel a lump, no matter how small it is tell your onc.
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Oh, just so you know I do not have IBC but skin mets from BC is still skin mets.
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Hello Karen,
My skin mets appeared along my mast scar line. Started off with a couple of tiny bumps, like little grains of rice. I now alos have a met that looks like an insect bit, red centre hard and white around the outside. The skin is becoming quite red and hard, sometimes looks angry but doesn't hurt though it does occasionally itch.
I have tried a chemo which worked well for a short time but they then progressed rapidly (though stayed very local). Some of them have blistered and they do bleed off and on.
I am due to go into hosp next week for a reduction of my 'good' breast and the surgeon is going to removed the mets at the same time.
Hope some of this is useful
Jackie
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Hi Karen,
I was diagnosed with local skin mets while on some maintenence chemo in March. I had a mastecomy with partial reconstruction in November. In February I compledted Radaiation and a month later the rash popped up on the IBC side. It looked like a red rash. It was not raised and it did sort of pop up in other areas of the breast. At first I though it might be from the radiation because it seemed to shrink in one area and then grow in another. It was not itchy but the skin was tight. I brought it to my oncologists attention and she sent me to my surgeon the next day for a punch biopsy. Needless to say it came back as skin mets(a local recurrence). I repeated scans and the cacer did not spread anywhere else. I started a new regime of chemo Carbo and Taxol and it cleared up pretty quickly but I am down at MDA about to undergo a stem cell transplant to try and make sure it stays away.
I would push for the biopsy and then you will know for sure. I wish you the best of luck. Please keep us updated on whats going on with you.
Dorothy
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Thanks to all that responded!! I received some great news Friday - my primary care doctor diagnosed the rash as a yeast infection resulting from sweat caused by my prosthetics! And since she was the one that originally suspected IBC, I trust her. Of course I will have the onc look at it when I see her in 2 wks, but my mind is resting easier. I have cream to put on it, dr said it should clear up after 4 or 5 days of usage.
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wups - meant "sweat" not "seat" ....
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I have stage 4 IBC with mets to my hip and spine, I also have IBC skin mets. The only way to know for sure is to do a skin biopsy in that area, it did not show up on a PET scan for me. Mine is red with little bumps like mosquito bites and some bumps are smaller and white. I hope this helps. Elizabeth
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I'm so glad I found this thread---I PM'd Bonnie about this question. I am 5 months out from radiation and had bil mx last June. I developed a 1 inch by 4 inch red rash at my bra line (from my foobs)... tried emu oil, hydrocortisone, and just started an anti-fungal. Talked with the Rads Dr today and he said if it was skin mets it usually recurs as nodules..feels like rice or a pea. Isn't it terrible that we are always worried about something that might be benign? I will wait through the weekend and show it to the Dr while I'm at chemo on Monday. It reminds me of a yeast rash (from when I had my DDD boobs!) as its itchy. We'll see.....Thanks for this thread
Carole
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Carole,
Your note provided me with a great sense of relief! My oncologist also told me that skin meds would be nodules that would feel like rice in the skin - exact words! And my GP dx'd my rash as a yeast infection, gave me a prescription for cicloproxin (or something like that) cream, that seems to be working. I also had large breasts (G cups!) and had the occasional rash, but I don't recall it looking like this rash; my husband says it might have, but he doesn't remember what it looked like any more
So, while I'm sorry you are dealing with this, I'm glad someone else was told the same thing - sort of validates what my doctors said. Thanks for sharing!
Karen -
Thanks for your post Karen....and for the name of the cream--right now I'm using an antifungal powder and it isn't doing anything. Guess we'll see what the oncologist says when I go in tomorrow.
Blessings and hugs
Carole
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Just wanted to update you ladies.....another IBC'er PM'd me that her mets weren't nodules but a rash and she encouraged me to get a biopsy NOW and not wait. So today I had the biopsy...not a simple skin punch biopsy...oh no...she biopsied 2 sites, one in the radiation field where your bra strap would hit (not at the mastectomy) and one right on the edge and I have 3 to 4 stitches in each. She is worried about me healing because I just finished up avastin. The surgeon said that my initial IBC presentation was not "characteristic" my skin cancer looked more like the measles than the characteristic IBC look--whatever that means. She isn't as worried about the rash in the field of radiation as she said the skin tends to be very irritable. We are just praying that BOTH are benign! I'll find out Friday and let you know.....
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Bad news.....both are POSITIVE! Got the results this morning....so the avastin and abraxane aren't working. The oncologist mentioned calling the Parp rep about getting a drug as a compassionate allowance. She's worried about my cough too--I am convinced its from avastin but she's worried its cancer in the airway and wants me to have a bronch. So our plate is full, along with our salad plate and dessert plate! Thanks for your thoughts and prayers
ps--Bonnie, my rash doesn't look like the pix on the IBC website--it is deep red/purple and 1 inch by 4 inches
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Oh crap, Carole! I don't know what else to say except "that totally sucks!" I hope you are able to get onto the other drug and it proves to help you give this thing some more heck. And when I see my onc next month, I will let her know of your rash's appearance, that not all mets are rice-like. Guess we have to help educate our oncs, to share with them what we learn from each other. Know that you are added to my prayer list ... like Bonnie and others on the site, "I Believe" ...
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Thanks ladies for your hugs and words of support. It has been a whirlwind day but nothing that a good movie (we saw Training your Dragon in 3d with the kids) and dinner at Red Robin couldn't solve! HA! So I've decided that the avastin/abraxane didn't work BUT that there are other options, right? RIGHT! The oncologist mentioned a Parp but we'll see--I think there is a trial in Idaho but if it is used for compassionate allowance, I'm not sure how that works. I've had carboplat but not gemzar so maybe that's an option too. I think some ladies are on gemzar and cisplat instead of carboplat--thankfully I've taken lots of notes from the boards!
I am so thankful for my team of Doctors. My oncologist called me twice today and they have set up a bronch because of my long lasting cough--she just wants to make sure everything is ok. And I still have a PET scheduled for Monday--we're praying for no progression elsewhere.
So we take one day at a time and covet every prayer and positive though. Thanks ladies!
Blessings and hugs
Carole
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I just found this thread somehow, but Carole, I am so sorry about your biopsy. I will keep you in my prayers that your PET is otherwise ok.
Hugs,
Lori
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First of all, Carole, your in my thoughts and prayers. I'm so sorry your going through this.
I've been lurking on this thread for a couple of days because I've been battling what I think is ecxema at my bra line too, under my mastectomy sight. It itches and I've had it for about a year. I recall having my breast surgeon look at it and he told me it looked like eczema so I didn't worry about it. Kind of ignore it and put a prescription cream on it called triamcinolone acetonide I got as a prescription for my face. I do get exzema on my face and around my ears. The ones on my face come and go in different places. Usually run a course of about 4 to 5 days then goes away whether I use the medication or not. Been having that for years. My oncologist even looked at ithe bra line spot, but i told her it was exzema and she agreed. Now I'm not so sure.
But the one under my mastectomy site has never completely gone away. Its always there. it may flare up and be redder at times, but its always there. I looked at the pictures on this thread and it looks exactly like the 2nd group of pictures. IT's about 1 inch by 1 inch. It itches but is never painful.
I'm definitely calling my doctor on monday.
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Debbie--the one sure way to know for sure, especially if it never really went away is to do a quick skin punch biopsy. That would put your mind at ease and give you a definitive diagnosis. The one thing I've learned about cancer is that there is not a one-size-fits-all for any of it. I think I mentioned above that my big area of mets doesn't look like the pix on the website. I know my Rad Dr said usually it comes back as "nodules"- like feeling rice under the skin. Nope, that wasn't my case either. The only thing curious about yours is that even though it isn't going away, it isn't getting bigger and that might be a good sign- most people I have been in touch with have had a spreading of the skin mets within a few months if untreated.
Hang in there and please let me know what happens!
Blessings and hugs
Carole
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THanks, Carole.
I made an appointment with a dermotologist who is listed with my insurance. Only problem is that they don't have a new patient opening until June, so I took the appointment and they told me to check back with them if I wanted to, to check if they have any cancellations since I want the spot tested under the mastectomy site. Since it hasn't grown any, I am not too worried. Even the small chance it is cancer, since it isn't growing larger, I feel I'll be okay and it will be negative. I just want the peace of mind to be sure. This doctor comes highly recommended by my boss, who's a dentist. I'll keep everyone posted.
Thank so much,
deb
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Just an update: met with the Radiation Dr today and he CAN irradiate my chest again. He said the chest wall is resilient and can be hit with 100 (rads or whatever its called). My chest was irradiated with 50 and my incision line with 75---the incision line DOES NOT have a return of skin mets. So my option is to do daily rads for 5 weeks or twice a day rads for 3 weeks. He mentioned the hyperthermia study where they apply heat then rads but it isn't done in my area. There is the option of chemo too--alone or with rads. I meet with the oncologist on Thursday to discuss options. I might just go for chemo for now....the visible results of chemo working would be my skin getting better--instead of doing it with rads and not being sure til the next scan. We'll see.
Thanks for all of your thoughts and prayers and positive thoughts
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