title: Skin lesions after prophylactic mastectomy and immediate reconstruction.
abstract: Metastatic breast carcinoma can mimic benign cutaneous lesions. Breast surgeons should be aware of skin manifestations to be able to distinguish them and set a proper therapeutic strategy. A clinical case of cutaneous lesion after breast cancer is presented. A 41-year-old woman with a history of left breast cancer underwent a prophylactic right nipple-sparing mastectomy with immediate breast implant reconstruction. After surgery, she attended our service due to a right periareolar rash resistant to medical treatment, accompanied by cutaneous induration and fixed axillary adenopathy. A differential diagnosis of skin metastases was considered. Cutaneous metastases should be the first diagnosis of skin lesions in oncological patients due to the implications in terms of treatment and prognosis. However, differential diagnoses have to be discussed.
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Sonia
authors.initials: S
authors.lastname: Baulies
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Melonio
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Fréneaux
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Couturaud
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Alfred
authors.initials: A
authors.lastname: Fitoussi
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Roman
authors.initials: R
authors.lastname: Rouzier
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Malhaire
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Peter
authors.initials: P
authors.lastname: Mallon
authors.affiliation: Department of Surgery, Institut Curie, Paris, France; Department of Tumor Biology, Institut Curie, Paris, France; and Department of Radiology, Institut Curie, Paris, France.
authors.forename: Fabien
authors.initials: F
authors.lastname: Reyal