Itchy nipple

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Hello, I'm hoping you can help me. I had a lumpectomy in June of this year, lymph nodes were clear. I then had 19 sessions of radiotherapy which finished at the end of August. I had moderate skin reaction to the radiotherapy, but the skin quickly settled down once treatment finished. I have seen the oncogist in October, who told me they were almost certain the tumour was removed in its entirety, no nodes were affected and that they were very happy with the result. He said he would see me again in 6 months.

My question is this. At the start of this week I noticed the nipple on the operated breast has been itching. It's not sore, the skin looks normal, but it's itchy all the time. I never had this during radiotherapy at all. Is this normal, or should I get someone to check it out? I don't want to waste anyone's time, but I'm wondering why now,  just about 4 months after all treatment finished, I'm now experiencing this itching on the affected nipple?

Your advice would be really appreciated!

  • Hello Dicha

    Thank you for getting in touch with your question today. I am one of the Cancer Information Nurses Specialists  based here at the Macmillan support line. My name is Gemma.

    It is understandable that you would be cautious with any change you notice to your breasts, especially to the side that has been treated. It is always worth telling your own hospital team or GP about any changes. As they have access to your case notes they are best placed to assess what any changes may mean to you personally.

    There may be many reasons for your nipple to become itchy. It is not usually a sign of anything to worry about.

    We notice from your bio that you are taking Letrozole; one of the common side effects of this drug is skin changes, including an itchy rash. Although you do mention that the skin looks normal.

    Another possibility is that skin in the treated area may now be naturally drier after radiotherapy. Radiotherapy can cause long term effects on the skin and reduce the natural oils and lubrication that are produced. This could become more noticeable as the weather changes, and we use more central heating. Radiotherapy can also induce sensitivities in the treated skin that haven’t been there before.

     Your GP or hospital team can advise you on what might be causing the itching and what might help to reduce it.

    I hope this information has been helpful. If you would like to talk things through with one of the cancer information nurses here, please get in touch by email, webchat or phone. You can call us free from landlines and from most mobile phone networks* on 0808 808 00 00, 7 days a week, 8am – 8pm. The Macmillan Support Line offers practical, clinical, financial, and emotional support.

     

  • Gemma, thank you so much for your response. I'll certainly mention the itchiness when i next see the consultant. Until then I shall start moisturising the breast and nipple area again, I stopped about a month ago, and on reflection perhaps it was too early!

    Thank you once again, and have a very Merry Christmas!