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[Metastatic cervical fasciitis revealing invasive lobular breast carcinoma]
J Munoz1, C Garcia1, J-M Joujoux2
1Service de dermatologie, groupe hospitalo-universitaire Carémeau, place du Pr-R.-Debré, 30029 Nîmes cedex 9, France.
Background:
We describe the case of a 71-year-old woman presenting cervical metastatic fasciitis with invasive lobular carcinoma (ILC) of the breast.
Patients And Methods:
The patient consulted for a deep and painless skin infiltration of the neck associated with dysphagia and restricted cervical mobility. Skin and muscle biopsies were normal. Muscle fascia biopsy showed a linear infiltration of metastatic cells in "single file", revealing ILC of the right breast.
Discussion:
ILCs have a particular metastatic pattern. They can permeate through tissue planes, infiltrate solid organs and spread on serous membranes in an insidious fashion.
Conclusion:
Our case shows that ILC can metastasise into muscular fascia, causing "fasciitis-like" symptoms. Dermatologists should be aware of this particular pattern of dissemination.
