Need to rethink tight-fitting attire

Petticoats and dhotis have long been an essential part of India's cultural heritage, symbolizing both elegance and tradition.

- DR. PYALI CHATTERJEE & MS. MAITREYEE TEMBHEKAR

Petticoats and dhotis have long been an essential part of India's cultural heritage, symbolizing both elegance and tradition. However, hidden beneath their graceful drapes is a rarely discussed health concern—a unique condition referred to as "petticoat cancer" or "saree cancer." Also known as Marjolin ulcer, this uncommon form of skin cancer typically develops around the waist due to prolonged irritation and friction.

The term 'Saree Cancer' was first introduced by Dr. Patil et al. in the Bombay Hospital Journal from Bombay Hospital, India, and has recently garnered significant attention in Indian media. This condition arises from the continuous pressure exerted by tightly bound waist cords in traditional Indian attire, leading to chronic irritation. However, it would be incorrect to assume that only Indian garments contribute to this issue. Western clothing, such as tight-waisted jeans, can also cause similar irritation, ultimately leading to the same risks.

Over time, this persistent friction can result in chronic ulcers, which, if left untreated, have the potential to develop into aggressive carcinoma.

Although petticoat cancer is not a common condition, it remains a significant health concern for individuals who habitually wear tightly tied clothing over extended periods, often spanning several decades. Skin cancer accounts for only 1% of all cancer cases, highlighting that saree or dhoti cancer is rare compared to other forms of cancer. The primary culprit behind this condition is the tight cord of the petticoat, which causes continuous friction and moisture retention, leading to dermatoses such as dermatitis and depigmentation.