Plastic and Reconstructive Surgery, Global Open (Dec 2013)

Skin Lesions after Prophylactic Mastectomy and Immediate Reconstruction

  • Sonia Baulies, MD,
  • Isabelle Melonio, MD,
  • Paul Fréneaux, MD,
  • Benoit Couturaud, MD,
  • Alfred Fitoussi, MD,
  • Roman Rouzier, MD,
  • Caroline Malhaire, MD,
  • Peter Mallon, MD,
  • Fabien Reyal, MD

DOI
https://doi.org/10.1097/GOX.0000000000000009
Journal volume & issue
Vol. 1, no. 9
p. e82

Abstract

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Summary: Metastatic breast carcinoma can mimic benign cutaneous lesions. Breast surgeons should be aware of skin manifestations to be able to distinguish them and set a proper therapeutic strategy. A clinical case of cutaneous lesion after breast cancer is presented. A 41-year-old woman with a history of left breast cancer underwent a prophylactic right nipple-sparing mastectomy with immediate breast implant reconstruction. After surgery, she attended our service due to a right periareolar rash resistant to medical treatment, accompanied by cutaneous induration and fixed axillary adenopathy. A differential diagnosis of skin metastases was considered. Cutaneous metastases should be the first diagnosis of skin lesions in oncological patients due to the implications in terms of treatment and prognosis. However, differential diagnoses have to be discussed.