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Breast carcinoma en Cuirasse--case report.

Oliveira GM, Zachetti DB, Barros HR, Tiengo A, Romiti N - An Bras Dermatol (2013 Jul-Aug)

Bottom Line: Cutaneous metastasis is a phenomenon that results from a tumor spreading via lymphatic or vascular embolization, direct implant during surgery or skin involvement by contiguity.We report the case of a female patient, 78 years old, with papular, scaly and confluent lesions in the right breast for one year, progressing to edema and skin infiltration, reduction of breast volume and plaque en cuirasse, and similar lesions in the contralateral breast and abdomen for four months.The pathological diagnosis was invasive ductal breast carcinoma with Paget-like foci, epidermal skin metastases and lymphatic embolization.

View Article: PubMed Central - PubMed

Affiliation: Fundação Lusíada, Santos(SP),Brazil.

ABSTRACT
Cutaneous metastasis is a phenomenon that results from a tumor spreading via lymphatic or vascular embolization, direct implant during surgery or skin involvement by contiguity. The primary malignant tumor that most commonly metastasizes to the skin in women is breast cancer, which can be manifested through papulonodular lesions, erysipeloid or sclerodermiform infiltration, en cuirasse. We report the case of a female patient, 78 years old, with papular, scaly and confluent lesions in the right breast for one year, progressing to edema and skin infiltration, reduction of breast volume and plaque en cuirasse, and similar lesions in the contralateral breast and abdomen for four months. The pathological diagnosis was invasive ductal breast carcinoma with Paget-like foci, epidermal skin metastases and lymphatic embolization.

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Right axillary lymphadenopathy in cachectic patient, associated with erythematousscaly plaque on the right breast infiltrated with abnormal volume
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f02: Right axillary lymphadenopathy in cachectic patient, associated with erythematousscaly plaque on the right breast infiltrated with abnormal volume

Mentions: About a year ago a 78-year-old black woman, housewife, born and resident in São Vicente,SP, presented with papulonodular lesions, scaly and confluent in the right breast,progressing to edema and skin infiltration, with marked reduction in breast volume, likea cuirasse (Figure 1). Fourmonths ago she showed signs of contralateral breast and abdomen involvement, withenlarged, hardened and palpable lumps in the left breast. There was also gradual weightloss of 10 kg in the previous year, anterior cervical and axillary lymphoadenopathy,associated with lymphedema of the right arm. She denied any dermatological diseases andher personal history was unremarkable (Figure2).


Breast carcinoma en Cuirasse--case report.

Oliveira GM, Zachetti DB, Barros HR, Tiengo A, Romiti N - An Bras Dermatol (2013 Jul-Aug)

Right axillary lymphadenopathy in cachectic patient, associated with erythematousscaly plaque on the right breast infiltrated with abnormal volume
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3760938&req=5

f02: Right axillary lymphadenopathy in cachectic patient, associated with erythematousscaly plaque on the right breast infiltrated with abnormal volume
Mentions: About a year ago a 78-year-old black woman, housewife, born and resident in São Vicente,SP, presented with papulonodular lesions, scaly and confluent in the right breast,progressing to edema and skin infiltration, with marked reduction in breast volume, likea cuirasse (Figure 1). Fourmonths ago she showed signs of contralateral breast and abdomen involvement, withenlarged, hardened and palpable lumps in the left breast. There was also gradual weightloss of 10 kg in the previous year, anterior cervical and axillary lymphoadenopathy,associated with lymphedema of the right arm. She denied any dermatological diseases andher personal history was unremarkable (Figure2).

Bottom Line: Cutaneous metastasis is a phenomenon that results from a tumor spreading via lymphatic or vascular embolization, direct implant during surgery or skin involvement by contiguity.We report the case of a female patient, 78 years old, with papular, scaly and confluent lesions in the right breast for one year, progressing to edema and skin infiltration, reduction of breast volume and plaque en cuirasse, and similar lesions in the contralateral breast and abdomen for four months.The pathological diagnosis was invasive ductal breast carcinoma with Paget-like foci, epidermal skin metastases and lymphatic embolization.

View Article: PubMed Central - PubMed

Affiliation: Fundação Lusíada, Santos(SP),Brazil.

ABSTRACT
Cutaneous metastasis is a phenomenon that results from a tumor spreading via lymphatic or vascular embolization, direct implant during surgery or skin involvement by contiguity. The primary malignant tumor that most commonly metastasizes to the skin in women is breast cancer, which can be manifested through papulonodular lesions, erysipeloid or sclerodermiform infiltration, en cuirasse. We report the case of a female patient, 78 years old, with papular, scaly and confluent lesions in the right breast for one year, progressing to edema and skin infiltration, reduction of breast volume and plaque en cuirasse, and similar lesions in the contralateral breast and abdomen for four months. The pathological diagnosis was invasive ductal breast carcinoma with Paget-like foci, epidermal skin metastases and lymphatic embolization.

Show MeSH
Related in: MedlinePlus