Cindy,
        My immediate thought is to check her bra.  Sounds like pinched breast
tissue.  Orange peel (peau de' orange) is very common in severe edema.  I
would only think cancer for nonbf/non engorgement problem.  Motrin and
hot/cold packs, massage area toward baby's face (standard plugged duct
advice).  Watch for mastitis.  Check for reasons breasts are sore in that
area  - both breast suspect bra or lack there of, swimming (diving into
water and overhead strokes).  One breast think heavy diaper bag, vacuuming
etc, bad latch/ suck.

Debbie Codding, RNC
Naval Hospital Guam

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> From: Yousko's in Texas <[log in to unmask]>
> To:
> Subject: Orange peel skin
> Date: Friday, July 31, 1998 7:02 AM
>
> I am wrking w a client who is nursing her 5 da.old 2nd child. She was
> c/o of "bearable pain" in both brsts in medial area - between 3 & 6
> o'clock- she was not engorged- has PNS- no fever or red streaks- started
> beginning of day 3. During her preg. she was given prescript. cr to
> apply under breasts for yeast- no overt signs of yst. in Mo. or baby at
> present.  She is very big busted- the areas have marked pitting edema &
> somewhere I remember the term "orange peel" skin as possible sign of
> cancer. I was unable to find it in any of my resources including Lactnet
> Archives. She nursed her 1st, who is now 2, for 14 mths- stated had the
> "orange peel" skin and soreness w 1st chd. also, that eventually
> resolved- had 1x antibiotic trtmt for mastitis in L with 1st chd.
> Possibly poorly draining ducts?- wrked on positioning and tried a rolled
> up towel under lg breast for better support. Rec. crushed cabbage lves,
> cont. use of skin cr. for yeast under breasts- more airdrying
> underneath, etc. TC on 12 day- soreness gone- "orange peel" skin still
> present but less noticeable, no further signs of yst in Mo. or baby.
> Should I mention the cancer connection- (I would want refs. before I
> do.)? Any info. is greatly appreciated. This is my 1st post after being
> a Lactnut for 2 yrs.- until now, my questions have always been answered
> through general dicussions on Lactnet.
> Thanks, Cindy Y., RN, IBCLC
>