title: [Metastatic cervical fasciitis revealing invasive lobular breast carcinoma].
abstract: BACKGROUND
  We describe the case of a 71-year-old woman presenting cervical metastatic fasciitis with invasive lobular carcinoma (ILC) of the breast.
  
  
  METHODS
  The patient consulted for a deep and painless skin infiltration of the neck associated with dysphagia and restricted cervical mobility. Skin and muscle biopsies were normal. Muscle fascia biopsy showed a linear infiltration of metastatic cells in "single file", revealing ILC of the right breast.
  
  
  CONCLUSIONS
  ILCs have a particular metastatic pattern. They can permeate through tissue planes, infiltrate solid organs and spread on serous membranes in an insidious fashion.
  
  
  CONCLUSIONS
  Our case shows that ILC can metastasise into muscular fascia, causing "fasciitis-like" symptoms. Dermatologists should be aware of this particular pattern of dissemination.
authors.affiliation: Service de dermatologie, groupe hospitalo-universitaire Carémeau, place du Pr-R.-Debré, 30029 Nîmes cedex 9, France.
authors.forename: J
authors.initials: J
authors.lastname: Munoz
authors.affiliation: Service de dermatologie, groupe hospitalo-universitaire Carémeau, place du Pr-R.-Debré, 30029 Nîmes cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Garcia
authors.affiliation: Service d'anatomo-pathologie, groupe hospitalo-universitaire Carémeau, place du Pr-R.-Debré, 30029 Nîmes cedex 9, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Joujoux
authors.affiliation: Service de dermatologie, groupe hospitalo-universitaire Carémeau, place du Pr-R.-Debré, 30029 Nîmes cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Dandurand
authors.affiliation: Service de dermatologie, groupe hospitalo-universitaire Carémeau, place du Pr-R.-Debré, 30029 Nîmes cedex 9, France; Institut des biomolécules Max-Mousseron, UMR CNRS 5247, faculté de pharmacie, 15, avenue Charles-Flahault, BP 14491, 34093 Montpellier cedex 5, France.
authors.forename: L
authors.initials: L
authors.lastname: Meunier
authors.affiliation: Service de dermatologie, groupe hospitalo-universitaire Carémeau, place du Pr-R.-Debré, 30029 Nîmes cedex 9, France; Institut des biomolécules Max-Mousseron, UMR CNRS 5247, faculté de pharmacie, 15, avenue Charles-Flahault, BP 14491, 34093 Montpellier cedex 5, France. Electronic address: pierre.stoebner@chu-nimes.fr.
authors.forename: P-E
authors.initials: PE
authors.lastname: Stoebner
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology*; D018275:Carcinoma, Lobular / Q000150:complications* / Q000473:pathology / Q000556:secondary*; D005208:Fasciitis / Q000209:etiology*; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000473:pathology / Q000556:secondary*; D006801:Humans; D009361:Neoplasm Invasiveness
keywords: Breast; Carcinome lobulaire infiltrant; Fasciite; Fasciitis; Invasive lobular carcinoma; Metastases; Métastases; Sein