Inflammatory Breast Carcinoma Presenting with Two Different Patterns of Cutaneous Metastases: Carcinoma Telangiectaticum and Carcinoma Erysipeloides.
Cutaneous metastases can have many different clinical presentations. They are seen in patients with advanced malignant disease; however, they can be the initial manifestation of undetected malignancies. Inflammatory breast carcinoma is a rare and aggressive form of breast cancer that has a nonspecific appearance mimicking many benign conditions including mastitis, breast abscesses, and/or dermatitis. The authors report the case of a 40-year-old woman with inflammatory breast carcinoma presenting with violaceous papulovesicular lesions resembling lymphangioma circumscriptum and erythematous patches resembling erysipelas. These lesions represent two different types of cutaneous metastases, both of which were the initial signs of inflammatory breast carcinoma in the patient described herein. Skin biopsy of lesions confirmed invasive breast cancer and further prompted a work up for inflammatory breast carcinoma. This case demonstrates the importance of follow-up for all breast lesions, even those considered to be of benign nature, for they can be presenting signs of metastatic breast cancer.
Department of Dermatology, Jundishapur University of Medical Sciences, Ahvaz, Iran;
Reza
R
Yaghoobi
Deparment of Surgery, Jundishapur University of Medical Sciences, Ahvaz, Iran;
Abdolhasan
A
Talaizade
Department of Pathology, Jundishapur University of Medical Sciences, Ahvaz, Iran;
Karan
K
Lal
New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York;
Nastaran
N
Ranjbari
Department of Dermatology, Jundishapur University of Medical Sciences, Ahvaz, Iran;
Nasibe
N
Sohrabiaan
Department of Dermatology, Jahrom University of Medical Sciences, Jahrom, Iran.
Amir
A
Feily