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Cancer cellulitis.

B S Graham, S W Wong

    Southern Medical Journal
    |February 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Inflammatory carcinoma of the skin is a rare metastatic lesion, often linked to breast cancer but also seen with other cancers. Suspect this diagnosis in afebrile patients with normal white blood cell counts presenting with cellulitis.

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    Area of Science:

    • Oncology
    • Dermatology
    • Pathology

    Background:

    • Inflammatory carcinoma is a rare form of metastatic cancer.
    • It most commonly presents as a metastatic lesion associated with breast cancer.
    • However, it can also manifest from lung, pancreatic, or gastrointestinal neoplasms.

    Observation:

    • This case highlights inflammatory carcinoma involving the inguinal skin in a male patient with rectal carcinoma.
    • The clinical presentation mimicked cellulitis, characterized by an afebrile state and normal white blood cell count.
    • A raised leading edge, similar to erysipelas, was an additional diagnostic clue.

    Findings:

    • The diagnosis of inflammatory carcinoma should be considered in patients presenting with cellulitis-like symptoms.

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  • Key indicators include the absence of fever and a normal white blood cell count.
  • A raised, erysipelas-like border can further support suspicion.

    • Implications:

    • Early recognition of inflammatory carcinoma is crucial for appropriate management.
    • Punch biopsy and culture are essential for confirming the diagnosis and guiding treatment.
    • This case broadens the understanding of metastatic patterns for various malignancies.