ABSTRACT

Figure 3.5). • Peau d’orange (skin oedema caused by dermal lymphatic infiltration). • Nipple retraction or inversion (as seen in Figure 3.5). • Nipple discharge, especially if blood-stained. • Asymmetric breast nodularity. • Paget’s disease of the nipple (looks very much like eczema). • May also present with signs of metastatic disease in 5% of cases:

● pathological fractures; ● bone pain; ● jaundice; ● cough or breathlessness.