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

Abstract

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.

Rapid progression of carcinoma en cuirasse breast dermal metastases on 18F-fludeoxyglucose positron emission tomography–computed tomography

“…[13,15] It is also known as scirrhous carcinoma, pachydermia, or Acarcine eburnee. [16] While others have presented 18 F-FDG PET-CT images of this entity, [16,17] this case report represents the first depiction of the rapid progression and devastating consequences. Furthermore, the case emphasizes the sensitivity of 18 F-FDG PET-CT to detect pathology in the breast dermis.…”