This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Breast, Subject name: Surgery
Peau d orange appearance is due to 
Select and explain. 
A. Hematogenous dissemination, B. Adherence of coopers ligaments, C. Chest wall fixation, D. Blockade of sub dermal lymphatics
D: Blockade of sub dermal lymphatics
Answer: D: Blockade of sub dermal lymphatics 
Explanation: Ans. (d) Blockade of Subdermal lymphatics(Ref: Bailey and love 26/e, p 816)* Peau d orange is due to infiltration of sub dermal lymphatics* Adherence to cooper's ligament - Tethering/ Dimpling/Puckering