The Pushing Sign for Early Skin Tethering in Breast Cancer

Skin tethering (ST) is regarded as a classical clinical feature of breast cancer. In many cases, ST is not evident on inspection, with the arm raised and skin pinching over the lump. We have observed that pushing the lump in one or another direction may elicit skin dimpling that was not otherwise ev...

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Autores principales: Naraynsingh, Vijay, Jarvis, Johnathan K, Milne, David M, Cawich, Shamir O, Harnanan, Dave, Singh, Yardesh, Islam, Shariful
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682950/
https://www.ncbi.nlm.nih.gov/pubmed/34976543
http://dx.doi.org/10.7759/cureus.20471
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author Naraynsingh, Vijay
Jarvis, Johnathan K
Milne, David M
Cawich, Shamir O
Harnanan, Dave
Singh, Yardesh
Islam, Shariful
author_facet Naraynsingh, Vijay
Jarvis, Johnathan K
Milne, David M
Cawich, Shamir O
Harnanan, Dave
Singh, Yardesh
Islam, Shariful
author_sort Naraynsingh, Vijay
collection PubMed
description Skin tethering (ST) is regarded as a classical clinical feature of breast cancer. In many cases, ST is not evident on inspection, with the arm raised and skin pinching over the lump. We have observed that pushing the lump in one or another direction may elicit skin dimpling that was not otherwise evident. In these cases, there is normal fat, grossly and histologically, between the tumor and the skin. Thus, the dimpling is not due to cutaneous infiltration. We believe that it is caused by tumor involvement of the ligaments of Cooper and present suggestions as to why it might be so. It may be that this is very early involvement of these ligaments, long before ST becomes very obvious. We report our experience with six such cases.
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spelling pubmed-86829502021-12-30 The Pushing Sign for Early Skin Tethering in Breast Cancer Naraynsingh, Vijay Jarvis, Johnathan K Milne, David M Cawich, Shamir O Harnanan, Dave Singh, Yardesh Islam, Shariful Cureus General Surgery Skin tethering (ST) is regarded as a classical clinical feature of breast cancer. In many cases, ST is not evident on inspection, with the arm raised and skin pinching over the lump. We have observed that pushing the lump in one or another direction may elicit skin dimpling that was not otherwise evident. In these cases, there is normal fat, grossly and histologically, between the tumor and the skin. Thus, the dimpling is not due to cutaneous infiltration. We believe that it is caused by tumor involvement of the ligaments of Cooper and present suggestions as to why it might be so. It may be that this is very early involvement of these ligaments, long before ST becomes very obvious. We report our experience with six such cases. Cureus 2021-12-16 /pmc/articles/PMC8682950/ /pubmed/34976543 http://dx.doi.org/10.7759/cureus.20471 Text en Copyright © 2021, Naraynsingh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Naraynsingh, Vijay
Jarvis, Johnathan K
Milne, David M
Cawich, Shamir O
Harnanan, Dave
Singh, Yardesh
Islam, Shariful
The Pushing Sign for Early Skin Tethering in Breast Cancer
title The Pushing Sign for Early Skin Tethering in Breast Cancer
title_full The Pushing Sign for Early Skin Tethering in Breast Cancer
title_fullStr The Pushing Sign for Early Skin Tethering in Breast Cancer
title_full_unstemmed The Pushing Sign for Early Skin Tethering in Breast Cancer
title_short The Pushing Sign for Early Skin Tethering in Breast Cancer
title_sort pushing sign for early skin tethering in breast cancer
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682950/
https://www.ncbi.nlm.nih.gov/pubmed/34976543
http://dx.doi.org/10.7759/cureus.20471
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