Peau d'orange skin ? pictures

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juliebee30
juliebee30 Member Posts: 7

Can someone with IBC please tell me if I should be concerned with my breast? I've taken antibiotics and skin creams but it has not gone away. Other than my skin looking like this and some mild pain under my arm, I have no other symptoms. Can somelone look at the pictures and please advise? I don't have insurance and wouldn't know where to get a biopsy. 

 http://www.flickr.com/photos/59447342@N04/?savedsettings=5438853673#photo5438853673

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  • AlaskaAngel
    AlaskaAngel Member Posts: 1,836
    edited February 2011

    Juliebee30,

    In many places there are special programs provided at low or no charge to help with exams specifically for breast cancer. Contact the American Cancer Society to see if they can tell you where one might be located close to you. Another suggestion is that you go to your local public health clinic and find out from the nurses there what local programs are available to you. IBC is unusual enough that even some experienced providers are not that familiar with it, so it may be exceptionally necessary to get someone to truly recognize whether or not it is a problem. I wasn't able to just click on your link and had to insert it into my browser to get it work, so it may be that others have read you post and not been able to get it to work either. Because IBC is so much more fast-growing than many other breast cancers, and because peau d'orange can show up so differently in different women, and because it is so uncommon, I don't think you should rely on general opinions about your photos from others here. I have not seen peau d'orange that often myself so I can't say, and what I did see had "indentations" that were not like yours. The public health nurses should be able to help you to identify where you might get a biopsy.

    Here are a few other pictures so that you understand the very different ways it can appear:

    http://www.ibcresearch.org/pictures/ibc-visual-clinical-symptoms/

    If it is IBC, it spreads rapidly, so be sure and get it thoroughly checked out.

    Best to you,

    AlaskaAngel (sister to IBC patient)

  • juliebee30
    juliebee30 Member Posts: 7
    edited February 2011

    Thank you so much. I'll try to find another doctor asap. I'm hoping its nothing to worry about.

  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011

    juliebee30......It sure looks like it to me too. I would definately get in touch with someone and get it checked out. IBC if very fast growing and nothing to wait around about and see. When first diagnosed at minimum it is a stage 3. All IBC is at least a stage 3 if not stage 4. There are only 4 stages. I'm not trying to scare you, but you need to know it's nothing to take your time on. If it's IBC you need to get started on treatment right away. You should be able to go to a clinic and they will be able to help you get in touch with someone to help you get a biopsy. My sister lives in south Missouri, she doesn't have insurance either. She wnt to a clinic and when they heard she might have IBC, they got her a biopsy right away. IBC has many symptoms. Not everyone has then all. Some only get the bug bite looking red mark, or the inverted nipple, or the swelling. Everyone is different. Please get it checket out. Good luck and let us know how you came out. God Bless, Leisa

  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011
  • Pat634
    Pat634 Member Posts: 271
    edited February 2011
    I also have Peau d'orange however I was still diagnosed with IDC and not IBC. Never the less you need to see someone about it asap.
  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011

    Hopefully it is B9, no matter what it is. But you will never know unless you get it checked out. Please find a way to go....Praying for you....Leisa

  • juliebee30
    juliebee30 Member Posts: 7
    edited February 2011

    Thank you to everyone for their help. I'm going on Wed for a mammo and ultrasound with temporary medicaid but the doctor won't prescribe a biopsy. Will those two tests be enough?

  • meme31
    meme31 Member Posts: 403
    edited February 2011

    possibly not, you need a biopsy.  The us may show it and then they would order a biopsy, mammo may show it too.  If not you still need a biopsy.

  • Letlet
    Letlet Member Posts: 1,053
    edited February 2011

    If your mammo and sono come back benign then you will not be recommended for a biopsy. Perhaps that is why at this point the doctor is not ordering it - yet. If they come back "suspicious" or "highly suspicious" (a BIRADS 4 or BIRADS 5) a biopsy should be done. The tissue sample from the biopsy is the only way that they would be able to tell a 100% that it is benign or cancer.

  • motherofpatient
    motherofpatient Member Posts: 240
    edited February 2011

    Tissues sample depends on the tumor size - my daughter's second tumor was very small and listed as suspicious spot. Needle biposy came back negative, but BS removed anyway. It was POSITIVE for cancer. So, insist on through and aggressive testing and re-testing. Better to remove more than to have a "recurrance" when it was there all the time.

  • leisaparis
    leisaparis Member Posts: 587
    edited February 2011

    As an IBC patient, I'm sorry to tell you that NO is the answer . IBC, DOES NOT show up on a sonogram or a mammogram. If you are lucky enough to have some other kind of breast cancer instead of, or with IBC, that has a lump then and only then does it show up on either one of those tests. A biopsy is the only way to detect IBC. With IBC, there IS NO LUMP. It comes in sheets. If you get a doctor who actually knows about IBC(a lot do not), then if the physical symptoms seem to be IBC symptoms, he/she should send you for a biopsy. If your doctor know about IBC, they also know there is a reason to be very aggressive. Most other cancers, you have time to get a second & third opinion if you wish. With IBC, however it is a very aggressive cancer and you only have a few weeks( a month or 2 at the most ) to begin treatment or it can easily go from stage 3 to stage 4. When IBC is first diagnosed it is an automatic stage 3 cancer. If shows up very suddenly and progresses very suddenly. Mine personally went from looking like nothing was wrong to having almost every symptom of IBC there is, in a matter of days. With that said, I do hope you only have some kind of rash and not IBC. It is very doable and they are coming out with new drugs everyday. I am actually in a new drug trial right now. There is hope for this dreaded disease, no matter what kind you may end up with. But remember @ 90o/o of all biopsy's are B9. Good luck to you. I will be praying for b9 results for you. God Bless. Leisa

  • juliebee30
    juliebee30 Member Posts: 7
    edited February 2011

    Went in for US and mammo today. They told me I had nothing wrong. They said I probably need stronger skin cream or it will go away on its own. My doctor won't order a biopsy if the two came back negative.I'm not sure what my next step will be. Very frustrating!!! I wanted to thank everyone here for all their support. I am praying for each and every one of you.

  • 1Athena1
    1Athena1 Member Posts: 6,696
    edited February 2011

    Hello Julie,

    That is concerning. I'm sorry that you got that response. I would say "get a second opinion" but I realize you don't have many options for care.

    If you have exhausted the options mentioned in the links above, you could try the National Association of Free Clinics or even Catholic Charities. The web site for the free clinics is:  http://www.freeclinics.us/ They may help you apply for Medicaid so that you can be guaranteed care if the worst case scenario comes to pass.

    Best of luck!

  • AlaskaAngel
    AlaskaAngel Member Posts: 1,836
    edited February 2011

    I'm sorry, when it seems as if you've had some reassurance.... Even though it is hard to keep going and spending emotional energy and time and money that is hard to come by on this, IBC is missed often enough by regular medical providers that I would continue to pursue this, because from your description there are actual physical changes that have not been identified or explained but guessed at, and no treatment you have tried has changed it, and the changes continue to progress. The indentations seem to be spaced unusually evenly apart to me in a distinct "pattern", and I don't think there usually is any real pattern to IBC, but what do I know. Is there anything that is in contact with the skin on a regular basis that has any similarity or relationship to the pattern, like maybe a pattern related to the cloth of a bra you wear, etc.?

    AlaskaAngel

    P.S. What is the explanation given for the other pain under the arm? Is that still there?

  • juliebee30
    juliebee30 Member Posts: 7
    edited February 2011

    When the doctor first gave me creams and antibiotics, I was told to change my bras and wear white cotton only. I switched my bras and laundry detergent. I only wear bras to go out and at home I take them off. Its only on my one breast and it has spread from the size of a nickel to almost half of my breast but no other symptoms except for the fact that I have no sensation on that area. I still have pain under my arm but they said they saw nothing with the ultrasound. I guess I will ask for more antibiotics or some other topical cream. They made me feel as if it was no big deal so I'm not sure what to do.

  • meme31
    meme31 Member Posts: 403
    edited February 2011

    i had looked at your pics before and it definitely seems there is something wrong.  I think it's important to find a doc who is familiar with IBC, other women on here have had the similar problems-one right now is weesee and she is still having problems and no biopsy.  I think you need to find another doctor and don't take your time doing it.  If it is IBC it is aggressive and needs to be found. I find it amazing how long women have to wait because the doctor isn't educated enough to make a proper diagnosis.  Good luck and keep trying the creams as you find another doctor who will do a biopsy.

  • 1Athena1
    1Athena1 Member Posts: 6,696
    edited February 2011

    Get a second opinion. Don't settle for a non-diagnosis. (Antibiotics can be harmful if you do not need them, as you could compromise your ability to fight future bacteria, so I would not go on an assumed diagnosis). Try the free clinics or the Catholic Charities. Do not take "we found nothing" for an answer. Sorry to sound alarmist. Good luck.

  • AlaskaAngel
    AlaskaAngel Member Posts: 1,836
    edited February 2011

    Another angle you might consider approaching it from along with continuing to look for a breast care provider who would be willing to do the biopsy for you, would be through a dermatology clinic, as you might get a biopsy there that would identify whatever the problem is -- including whether it is IBC.

    AlaskaAngel

  • juliebee30
    juliebee30 Member Posts: 7
    edited February 2011

    Thanks for the advice. I think if I can manage to get insurance again then I'll find a dermatologist who can help. If not I will have to go to an urgent care clinic, they might give me something topical or recommend someone who can help with biopsies.

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