Indian doctors are raising awareness about a rare form of skin cancer, colloquially known as “petticoat cancer” or “saree cancer,” which is linked to tightly tied saree underskirts, or petticoats. A study published in BMJ Case Reports highlights how this condition, officially called Marjolin’s ulcers, affects women who wear sarees daily and consistently tie the petticoat cord at the same place around their waists.

What is ‘Petticoat Cancer’?

This term refers to skin damage caused by prolonged and tight pressure from saree petticoat cords, which over time may cause irritation and skin erosion. In severe cases, this can develop into Marjolin’s ulcers, which are cancerous in nature. As explained by Dr. Darshana Rane, an oncologist at HCG Cancer Centre, the tightly tied cords can lead to chronic dermatoses (skin irritation) around the waistline. When these ulcers persist untreated, they may evolve into squamous cell carcinoma, a type of skin cancer.

Cases of Petticoat Cancer

Instances of this condition have been reported among elderly women who have worn sarees tightly tied at the waist for decades. In one recent case, a 70-year-old woman was diagnosed with squamous cell carcinoma after an ulcer developed at her waistline due to the pressure from her petticoat cord. Similar cases have been observed in cities like Chennai, Bengaluru, and Mumbai over recent years. Furthermore, men who wear dhotis in a similar fashion are also at risk, with some cases labeled “dhoti cancer.”

Why the Petticoat Cord is to Blame

Pathologist Dr. Vasant Khanolkar observed that the thin cord of petticoats applies more intense pressure on a small area of the skin, which can increase irritation and risk of ulcers. In contrast, broader belts distribute pressure more evenly, reducing skin damage.

Recognizing Symptoms and Preventive Measures

Signs of petticoat cancer may start with skin pigmentation, mild scaling, or persistent itching around the waist. In rural areas, India’s hot and humid climate can exacerbate the condition due to accumulated sweat and dust. Dr. Rane notes that limited healthcare access often leads to delayed diagnoses in remote regions.

To help prevent this condition:

  • Avoid tight petticoats: Loosen petticoats or opt for broader waistbands to distribute pressure more evenly.
  • Practice good hygiene: Regularly clean the waist area to prevent irritation from sweat and dust.
  • Monitor skin changes: Pay attention to any pigmentation or scaling and seek early medical advice if issues persist.

For those who love wearing sarees, awareness and preventive practices can help mitigate these risks.