Breast carcinoma en Cuirasse - case report

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

doi:10.1590/abd1806-4841.20131926

Cited by 16 publications

(18 citation statements)

References 3 publications

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“…The histopathological findings of cutaneous metastases in breast cancer have been classified under 5 headings: inflammatory carcinoma, where the dermal lymphatics are swollen with tumor cells; telangiectatic carcinoma, where only the superficial lymphatics are filled with tumor cells; nodular carcinoma, which consists of large and small tumor islets surrounded by fibrosis on the dermis; and cancer en cuirasse, a form of hematogenous metastasis with histopathological manifestations that vary depending on the clinical picture, and with tumor cells aligned in a single row between thick collagen bands. [13] Lymphovascular invasion of neoplastic cells of invasive ductal carcinoma was found in both of the presented cases.…”

Section: (A) (B)mentioning

confidence: 60%

Two cases of breast cancer, primary presented with skin metastasis

Karabay¹

2017

South Clin Ist Euras

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Cutaneous metastases represent 2% of all metastases. Although rare in clinical practice, cutaneous metastases are important in that they indicate a poor prognosis for the disease. Cutaneous metastases are usually symptoms of advanced internal malignancies, and rarely, they may be the first clinical manifestation of an unknown internal neoplasm. Here we report 2 previously undiagnosed patients who presented at a dermatology outpatient clinic with firm, ulcerated lesions on the skin as the first sign of breast carcinoma. Skin metastases of internal malignancies should be considered in the differential diagnosis in cases with atypical nodules on the skin.

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Section: (A) (B)mentioning

confidence: 60%

Two cases of breast cancer, primary presented with skin metastasis

Karabay¹

2017

South Clin Ist Euras

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“…[11] Carcinoma en cuirasse is an unusual skin metastasis of breast cancer with diffuse carcinomatous cutaneous and subcutaneous infiltration that may affect the chest and abdomen, by extension. [8] Reich et al have reported a case of carcinoma en cuirasse as an initial clinical manifestation of breast cancer in a woman with 15-month history of asymptomatic, previously untreated erythematous and indurated skin lesions of the right chest. [12] Our eighth case had a similar clinical presentation of diffuse erythematous skin thickening involving mastectomy scar site, but imaging features were not favouring malignancy.…”

Section: Discussionmentioning

confidence: 99%

Skin Metastasis in Breast Cancer Patients; a Case Series

Rehman

Naveed

2020

J Cancer Allied Spec

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Introduction: Breast cancer is the most common malignancy in women. It frequently metastasizes to bones, lungs and liver. Although rare, skin metastasis may also take place. It may also be the presenting feature of initial or recurrent breast cancer. The assessment of recurrent metastatic disease involving skin after mastectomy can be challenging because of the benign-appearing clinical presentation. The purpose of this caseseries was to explore the clinical and radiological presentation of skin metastasis in patients of breast cancer. Materials and Methods: This is a retrospective case series of breast cancer patients with skin lesions on chest and abdomen at the time of initial presentation, or post-treatment such as, after mastectomy or breast conservation therapy; who underwent various radiological investigations including mammography, ultrasoundscan, computed tomography (CT) scan and magnetic resonance imaging from 1 May 2018 to 30 September 2019 at Shaukat Khanum Memorial Cancer Hospital and Research Centre, Pakistan. Results: A total of eightcases were identified, out of which seven were females. The most common presentation consisted of the presence of metastatic nodules which were seen in 62.5% (five out of eight) of the patients. Other features consisted of erythematous or plaque-like skin thickening on clinical examination, increased density with indistinct margins seen on a mammogram and diffuse oedematous changes in the skin with small irregular mass or infiltration into subcutaneous tissues were visualised on ultrasound and CT studies. Conclusion: Skin metastasis from breast cancer most commonly presents as nodules, although rarely they may present as plaques or diffuse skin thickening. Awareness of diverse manifestations of skin metastasis is of utmost importance in early diagnosis and management.

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“…[1][2][3][4][5] Breast cancer, however, is not only the most common cancer among women, but it is the most common malignancy with metastases to the skin in women. Lookingbill et al showed that breast cancer accounted for 51% of all cases of patients with cutaneous metastases from metastatic carcinoma, and 73% of all cases in women, with the most common sites of cutaneous metastases being the chest and abdomen.…”

Section: Discussionmentioning

confidence: 99%

“…Cutaneous metastases from internal malignancies account for 0.7%-9% of all metastases. [1][2][3][4][5] Lookingbill et al showed that breast cancer was the most common malignancy with breast cancer alone accounting for 51% of all cases of patients with cutaneous metastases from metastatic carcinoma, and 73% of all cases in women. [2] Carcinoma en cuirasse, also known as scirrhous carcinoma, pachydermia, Acarcine eburnee, [6] is a type of cutaneous metastases with a distinctive clinical presentation.…”

Section: Introductionmentioning

confidence: 99%

Breast carcinoma en cuirasse as a natural progression of untreated breast cancer

Tung

Stone

Bhasin

et al. 2015

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Objective: Breast carcinoma en cuirasse is an aggressive manifestation of breast cancer, and is most often seen as a local recurrence. It is the most common primary malignancy to metastasize to the skin and palliative care is often the only option. Methods: Retrospective review of the patient's chart was done. Results: Our patient is a 65 year old female with no significant past medical or surgical history, who presented with a 2 year history of an enlarging left breast mass and left axillary mass, to the point where she had pain with breathing and restriction of chest wall expansion. Work-up of her breast and axillary masses showed carcinoma en cuirasse. Given the advanced stage of her disease, the patient was offered palliative care, which she declined. Conclusions: Breast carcinoma en cuirasse is a rare manifestation of cutaneous metastases from breast cancer. While it is usually seen as a local recurrence, it can also be seen, as in our patient's case, as a natural progression of breast cancer that is difficult to treat. Our patient's case highlights the importance of early detection and treatment of breast cancer, as well as the surveillance for local recurrence.

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Breast carcinoma en Cuirasse - case report

Cited by 16 publications

References 3 publications

Two cases of breast cancer, primary presented with skin metastasis

Two cases of breast cancer, primary presented with skin metastasis

Skin Metastasis in Breast Cancer Patients; a Case Series

Breast carcinoma en cuirasse as a natural progression of untreated breast cancer

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