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Breast carcinoma en Cuirasse--case report
Gabriela Mantovanelli de Oliveira1, Daniele Bueno Carvalho Zachetti, Hugo Rocha Barros
1Fundação Lusíada, Santos(SP),Brazil.
Anais Brasileiros De Dermatologia
|September 27, 2013
Summary
Cutaneous metastasis from breast cancer can present as skin infiltration and lesions. This case highlights invasive ductal carcinoma with Paget-like foci and epidermal metastases.
Area of Science:
- Oncology
- Dermatology
- Pathology
Background:
- Cutaneous metastasis involves tumor spread to the skin via lymphatics, blood vessels, or direct contact.
- Breast cancer is the most common primary malignancy metastasizing to the skin in women.
- Manifestations include papulonodular lesions, erysipeloid or sclerodermiform infiltration, and plaque en cuirasse.
Observation:
- A 78-year-old female patient presented with a year of evolving lesions on her right breast.
- Lesions progressed to edema, skin infiltration, reduced breast volume, and plaque en cuirasse.
- Similar lesions appeared on the contralateral breast and abdomen over four months.
Findings:
- Pathological diagnosis revealed invasive ductal breast carcinoma.
- The tumor exhibited Paget-like foci and epidermal skin metastases.
- Evidence of lymphatic embolization was confirmed.
Implications:
- This case underscores the varied presentations of cutaneous breast cancer metastasis.
- Early recognition of skin changes is crucial for timely diagnosis and management.
- Understanding metastatic patterns aids in predicting disease progression and treatment strategies.