What's that spot on my breast?

What Is That Spot on My Breast?

Did you know that women with a history of breast cancer may also face an increased risk of melanoma? Research suggests that breast cancer survivors have a higher likelihood of developing melanoma, highlighting the importance of regular skin checks along with breast cancer screenings.

At Zand Dermatology, we want to educate and empower women to recognize the signs of both skin and breast changes early. 

Patients often notice new or changing spots on the breasts and aren’t sure where to turn first. While many spots are benign growths like seborrheic keratoses (SKs), some changes may signal a deeper issue.

Seborrheic keratoses (SKs): These are harmless, wart-like growths that can appear anywhere on the body, especially underneath the breasts. They can be brown, raised, and are often mistaken for something more concerning. The best clue to a distinguish an SK from a melanoma, is that they are typically even colored, “sharply marginated,” and have a bumpy surface.

Skin tethering (ST): This is when the skin appears pulled inward or “dimpled” over a lump. Since it can look like orange peel, doctors often call it “peau d’orange.” Unlike SKs, tethering involves deeper tissue changes and should be brought to medical attention immediately.

Melanoma is generally characterized by dark irregularly pigmented lesions with irregular borders, asymmetry, color changes and/or a diameter greater than 6mm. See more on how to identify melanoma here.

When to See a Dermatologist vs. Primary Care

Dermatologist visit: For changing moles, SKs, rashes, or unusual spots on the breast, Dr. Paula and the Zand Dermatology team can evaluate, document, and treat these skin conditions, and provide peace of mind.

Primary Care or Breast Specialist visit: For skin dimpling, tethering, or any lump felt beneath the skin, these signs should be addressed with your PCP or breast care team promptly.

Mammograms and SKs: A Common Question

Did you know that when you go for a mammogram, technicians often place a small sticker over SKs or moles? This helps radiologists distinguish them from deeper lesions on imaging. These stickers do not mean the spot is dangerous—just that it’s being clearly marked for interpretation.

Dr. Paula’s Commitment to Education

Dr. Paula believes in educating all women about the skin–breast health connection. By teaching patients how to recognize harmless SKs versus concerning signs like pigment irregularity, we hope to reduce unnecessary anxiety while ensuring serious conditions are caught early.

Protect your skin and your breast health.