The saree is more than a garment; it’s a symbol of elegance and tradition, cherished by women across India. However, recent medical reports have highlighted a hidden health risk associated with saree-wearing habits—particularly the practice of tying the petticoat tightly around the waist. This condition, dubbed “petticoat cancer” or “saree cancer,” is raising concerns among doctors and public health experts. Karepedia brings a closer look at what petticoat cancer is, its causes, symptoms, and how to prevent it.

What is Petticoat Cancer?

“Petticoat cancer” is a term used to describe a rare form of skin cancer that can develop due to the chronic skin irritation caused by tightly tying the waist cord of a petticoat, commonly worn under sarees. This condition falls under the category of Marjolin’s ulcers—ulcers that develop into cancerous lesions over time. Decades of constant pressure from a tightly secured petticoat cord can lead to skin disorders and, in rare cases, squamous cell carcinoma, a type of skin cancer.

What Causes Petticoat Cancer?

The cause of petticoat cancer lies in the constant friction and pressure that the thin cord of the petticoat exerts on the skin around the waist. Here’s how this process works

• Constant Pressure and Friction: When tied tightly around the waist for extended periods, the petticoat cord can cause chronic irritation and erosion of the skin.

• Skin Damage and Ulceration: Over time, this friction may damage the skin, causing pigmentation changes, sores, and eventually ulcers.

• Cancer Development: In some cases, untreated ulcers may evolve into Marjolin’s ulcers, which have a small but significant risk of turning malignant.

Recent Cases and Concerns

Reports of petticoat cancer have emerged from various parts of India, particularly among elderly women who have worn sarees daily for years. For instance, a 70-year-old woman recently developed a non-healing ulcer on her waist, which later turned into squamous cell carcinoma. Similar cases in Mumbai, Bengaluru, and Chennai have highlighted how prolonged use of tightly tied saree cords can lead to severe skin issues.

Symptoms of Petticoat Cancer

While skin cancer can be difficult to detect in its early stages, there are some warning signs associated with petticoat cancer:

• Persistent skin irritation and itching around the waistline

• Darkened patches or pigmentation changes

• Scaling or hardening of the skin

• Development of ulcers or sores that do not heal

• Persistent pain or discomfort around the waist

It’s essential for women, especially those who have worn sarees for decades, to be aware of these signs and consult a doctor if any of these symptoms persist.

Who Else is at Risk?

While petticoat cancer is associated mainly with saree-wearing women, a similar condition has been noted among men who wear dhotis. Pathologists have reported cases of what they call “dhoti cancer,” where the constant pressure from tightly tied dhoti cords around the waist or thighs leads to skin problems and ulcers that can develop into cancer.

Preventing Petticoat Cancer

Prevention is key in reducing the risk of petticoat cancer. Here are some practical steps that can help

1. Avoid Tight Petticoats: Refrain from tying the petticoat cord too tightly around the waist, allowing the skin to breathe.

2. Choose Broader Waistbands: Opt for petticoats with wider, elastic waistbands to reduce pressure and distribute it more evenly.

3. Regular Hygiene and Skin Care: Maintain good hygiene, especially around the waist. Clean and moisturize the area regularly to prevent skin damage from sweat and friction.

4. Change Tying Position: Alternate the position of the saree cord to avoid constant pressure on the same spot.

5. Inspect Skin Regularly: Periodically check the skin around the waist for any signs of irritation, pigmentation changes, or sores. Early detection can prevent serious complications.

Seeking Medical Help

If you notice persistent skin changes around your waist, it’s advisable to seek medical attention promptly. Early intervention can make a significant difference in managing skin conditions and preventing them from escalating to more serious issues.

While the saree remains a beloved symbol of tradition and beauty, it’s essential for wearers to be mindful of their health. Small changes, like choosing a looser petticoat fit or opting for a broader waistband, can significantly reduce the risk of developing petticoat cancer. Awareness and early preventive measures can go a long way in ensuring that the saree continues to be worn with pride—and without health risks.