Carcinoma en cuirasse as an initial manifestation of inflammatory breast cancer

Reich, Adam; Samotij, Dominik; Szczęch, Justyna; Woźniak, Zdzisław; Szepietowski, Jacek C.

doi:10.5114/pdia.2015.48069

Cited by 16 publications

(24 citation statements)

References 18 publications

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“…Its incidence varies from 0.7-9% and is characterized by dissemination of carcinoma cells along tissue spaces or through lymphatic [24]. It is extremely rare to see it as the first feature of carcinoma breast [23]. Our case is rare in the context that the first presenting feature of our patient was the cutaneous metastasis, which was initially diagnosed clinically as some dermatological condition.…”

Section: (D) Carcinoma En Cuirassementioning

confidence: 75%

“…Our case is rare in the context that the first presenting feature of our patient was the cutaneous metastasis, which was initially diagnosed clinically as some dermatological condition. Skin metastasis when present as the initial symptoms may be confused as some dermatological conditions, as in our case, like erysipelas and herpes zoster eruption or a cutaneous lymphoma [23]. In breast carcinoma with skin metastasis presents as advanced tumor and shows very poor prognosis; hence, skin duration of long duration (months to years) is to be thoroughly investigated particularly in elderly patients.…”

Section: (D) Carcinoma En Cuirassementioning

confidence: 84%

“…Carcinoma en cuirasse is a form of metastatic cutaneous carcinoma characterized by diffuse sclerodermoid induration of the skin which usually appears in cases of local recurrence after mastectomy. This form of cutaneous metastasis is rarely found to be associated with adenocarcinomas of the lung, kidney, or gastrointestinal tract [23]. Its incidence varies from 0.7-9% and is characterized by dissemination of carcinoma cells along tissue spaces or through lymphatic [24].…”

Section: (D) Carcinoma En Cuirassementioning

confidence: 99%

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Unusual Breast Neoplasm with Diagnostic and Management Challenges

Rana

Ramakant

Babu

et al. 2018

Indian J Surg Oncol

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With the growing awareness and availability of proper screening methods, detection of breast lump is increasing globally and is now a very sensitive issue for females. The treatment of these lumps ranges from lumpectomy to wide local excision to mastectomy; hence, a proper diagnosis is very important to prevent under-or overtreatment in patients. Breast lesions are the heterogeneous diseases encompassing several distinct entities with remarkably different characteristics. While the more common forms of breast cancers are well recognized and understood better, there are many important unusual lesions and malignancies that are less known and less appreciated and can be challenging to diagnose. In such cases, due to rarity of the disease and lack of adequate treatment protocol, managing the patients can be a challenging task for surgeons and oncologist as well. In this article, we have shared our institutional experience in unusual breast lesions with emphasis on diagnostic as well as management challenges faced.

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Section: (D) Carcinoma En Cuirassementioning

confidence: 75%

Section: (D) Carcinoma En Cuirassementioning

confidence: 84%

Section: (D) Carcinoma En Cuirassementioning

confidence: 99%

See 1 more Smart Citation

Unusual Breast Neoplasm with Diagnostic and Management Challenges

Rana

Ramakant

Babu

et al. 2018

Indian J Surg Oncol

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“…Carcinoma en cuirasse is an uncommon clinical manifestation of metastatic cutaneous carcinoma characterised by diffuse sclerodermoid induration of the skin 1. We present a case of carcinoma en cuirasse developing as a presenting feature of invasive lobular breast cancer.…”

Section: Introductionmentioning

confidence: 97%

Carcinoma en cuirasse

2017

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We present a case of carcinoma en cuirasse as a presentation of advanced lobular breast carcinoma. On further investigation, she was found to have metastasis to her liver and bone. We report this case to highlight the phenomenon of cutaneous metastasis. It is important to consider this diagnosis as an initial manifestation of breast cancer, but rarely, it can also be associated with other adenocarcinomas, for example, carcinoma of lung, kidney or gastrointestinal tract.

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“…In the case of neoplasms, these include typical paraneoplastic syndromes, which themselves do not constitute neoplastic lesions [1,2]. More rarely, in the case of 1-12% of neoplasms, metastatic lesions from primary foci located in internal organs appear on the skin [2][3][4][5][6]. The involvement of the skin in the course of neoplastic diseases means that the neoplasm has gained access to the systemic circulation, which confirms its late stage and significantly worsens the prognosis.…”

mentioning

confidence: 99%

Primary skin manifestation of non-small-cell lung cancer – a case study

Grzywa-Celińska

Szmygin-Milanowska

Emeryk-Maksymiuk

et al. 2019

pdia

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Pathological processes involving internal organs can manifest themselves through a variety of skin lesions. In the case of neoplasms, these include typical paraneoplastic syndromes, which themselves do not constitute neoplastic lesions [1,2]. More rarely, in the case of 1-12% of neoplasms, metastatic lesions from primary foci located in internal organs appear on the skin [2-6]. The involvement of the skin in the course of neoplastic diseases means that the neoplasm has gained access to the systemic circulation, which confirms its late stage and significantly worsens the prognosis. The survival time of patients with metastases to the skin is usually less than 1 year [3,7]. An interesting phenomenon is the occurrence of a metastasis in the skin already involved in a neoplastic process, usually benign, which is referred to as a "tumour-to-tumour metastasis" [4].Cutaneous paraneoplastic syndromes can manifest under different forms, and usually include a variety of hyperkeratotic and sclerotic lesions. In the case of lung cancer, these are predominantly hyperkeratoses, including Bazex syndrome (cornification, nail eczema), ichthyosis acquisita, dermatomyositis and acanthosis nigricans [1]. Metastatic cutaneous lesions originating from lung cancer can take the form of hard, indolent, mobile, erythroid nodules covered with normal or inflamed skin. Typically, there is one or several nodules, but some cases include several hundred.We report a case of primary skin presentation of lung cancer in a 66-year-old male patient, an ex-smoker, who was admitted to the hospital in medium-severe condition due to general weakness, exercise-induced dyspnoea and dry cough. On admission to the department, in the subcutaneous tissue and on the skin of the patient, palpable and macroscopically visible nodules were observed, 2-3 cm in diameter, tender on palpation, of a rosy-bluish colour (Figure 1). These lesions were located on the front of the chest near a post-sternotomy scar, and in the dorsal area of the neck, as well as in the left supraclavicular, left-groin and left-thigh areas. The exanthems were of a polymorphic nature, and varied in terms of their size, colour and tenderness. As indicated by the patient, they appeared a month before admission to the department. During the patient's hospitalisation, new cutaneous lesions appeared and the old ones evolved. The lesion in the left groin area became spontaneously painful and showed signs of "fluctuation". The semi-liquid content was collected and sent for histopathological and bacteriological examination. A nodular lesion, 3 cm in diameter, appeared on the left side of the neck. The skin on the surface of the lesion was normal. Neck ultrasound revealed a mixed echogenic focal lesion and single neighbouring lymph nodes with preserved fatty hila. The submandibular and parotid glands were normal. Single nodules were also revealed in the thyroid area. Computed tomography of the chest performed 2 weeks before the hospitalisation revealed a tumour 8 cm in diameter in the right lung hilum....

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Carcinoma en cuirasse as an initial manifestation of inflammatory breast cancer

Cited by 16 publications

References 18 publications

Unusual Breast Neoplasm with Diagnostic and Management Challenges

Unusual Breast Neoplasm with Diagnostic and Management Challenges

Carcinoma en cuirasse

Primary skin manifestation of non-small-cell lung cancer – a case study

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