Carcinoma en cuirasse from breast cancer 17 years later

Mónica García-Arpa; Miguel A Flores-Terry; Lucía González-Ruiz; Monserrat Franco-Muñoz; Roberto Gómez-Díaz

2017, Number 12

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Ginecol Obstet Mex 2017; 85 (12)

Carcinoma en cuirasse from breast cancer 17 years later

García-Arpa M, Flores-Terry MA, González-Ruiz L, Franco-Muñoz M, Gómez-Díaz R

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Language: Spanish
References: 11
Page: 834-838
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ABSTRACT

Clinical case: patient of 73 years of age, with diagnosis of infiltrating ductal adenocarcinoma in the left breast in 2004; it was treated with total mastectomy, axillary lymphadenectomy and chemotherapy; 10 years later, she had induration and erythema in the mastectomy area, with some superficial necrotic lesions and cutaneous infiltration to the right breast. In the left arm: indurated lymphedema, with numerous crusted, superficial and superinfected lesions. The skin biopsy showed neoplastic infiltration due to mammary carcinoma and an increase in Ca 15.3. In the cervico-thoraco-abdominal-pelvic scan, massive left pleural effusion was observed, with underlying pulmonary atelectasis and multiple bone erosions, compatible with tumor involvement. After receiving palliative chemotherapy, the cutaneous infiltration of the tumor decreased temporarily.
Conclusion: mammary carcinoma is one of the main cancers that affect women. Their cutaneous metastases are of the order of 37% at 5 years. Cutaneous carcinoma is an exceptional variety (3%), of slow evolution, without systemic damage. Patients with breast cancer should have a close postmastectomy follow-up and, in case of skin metastasis suspicion, diagnose it in a timely manner to offer them the option of early treatment.

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