title: Cutaneous metastases of breast carcinoma: a case report.
abstract: BACKGROUND
  Cutaneous metastases can have variable clinical appearances and can mimic benign skin lesions. They are usually seen in patients with advanced disease, but they can be the presenting lesion.
  
  
  METHODS
  A 48-year-old woman presented with a 3-month history of progressive appearance of multiple asymptomatic nodular lesions on the chest. The recognition of cutaneous metastases often dramatically alters therapeutic plans, especially when metastases signify persistence of cancer originally thought to be cured. The most common tumor to metastasize to the skin is breast cancer.
  
  
  CONCLUSIONS
  Every practitioner should be highly suspicious of acute-onset, persistent, firm papulonodules, especially when they develop on the chest.
authors.affiliation: Dermatology Service, Ramony Cajal Hospital, University of Alcala, Madrid, Spain. sergiovano@yahoo.es.
authors.forename: Sergio
authors.initials: S
authors.lastname: Vano-Galvan
authors.forename: Paula
authors.initials: P
authors.lastname: Moreno-Martin
authors.forename: Irene
authors.initials: I
authors.lastname: Salguero
authors.forename: Pedro
authors.initials: P
authors.lastname: Jaen