Anais Brasileiros de Dermatologia (Aug 2013)

Breast carcinoma en Cuirasse - case report

  • Gabriela Mantovanelli de Oliveira,
  • Daniele Bueno Carvalho Zachetti,
  • Hugo Rocha Barros,
  • Adriana Tiengo,
  • Ney Romiti

DOI
https://doi.org/10.1590/abd1806-4841.20131926
Journal volume & issue
Vol. 88, no. 4
pp. 608 – 610

Abstract

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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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