title: Blue Lymphangitis of the Breast after Breast Cancer: Case Report.
abstract: Carcinomatous lymphangitis accounts for 5% of all skin metastases, but blue lymphangitis of the breast has never been described. We report a case of blue lymphangitis of the breast in a patient 11 years after treatment for ipsilateral breast cancer that was in full remission. Breast examination and imaging showed no other abnormalities. Skin biopsy revealed a carcinomatous-pigmented infiltration corresponding to melanoma metastasis, which helped highlight a primitive right flank injury. This case report emphasizes that a full body exam should always be performed with unusual presentation of breast cancer and reiterates the indispensable place of histology before any diagnosis.
authors.affiliation: Service de chirurgie générale oncologique, Institut Gustave Roussy, Université Paris - Sud XI, Villejuif, France.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Arfi
authors.affiliation: Service de chirurgie générale oncologique, Institut Gustave Roussy, Université Paris - Sud XI, Villejuif, France.
authors.forename: Alice
authors.initials: A
authors.lastname: Clavier
authors.affiliation: Service de chirurgie générale oncologique, Institut Gustave Roussy, Université Paris - Sud XI, Villejuif, France.
authors.forename: Jean F
authors.initials: JF
authors.lastname: Honart
authors.affiliation: Service d'imagerie diagnostique, Institut Gustave Roussy, Université Paris - Sud XI, Villejuif, France.
authors.forename: Samy
authors.initials: S
authors.lastname: Ammari
authors.affiliation: Service de pathologie morphologique et moléculaire, Institut Gustave Roussy, Université Paris - Sud XI, Villejuif, France.
authors.forename: Zahira
authors.initials: Z
authors.lastname: Merabet
authors.affiliation: Service d'onco-dermatologie, Institut Gustave Roussy, Université Paris - Sud XI, Villejuif, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Mateus
authors.affiliation: Service d'imagerie diagnostique, Institut Gustave Roussy, Université Paris - Sud XI, Villejuif, France.
authors.forename: Julia
authors.initials: J
authors.lastname: Arfi-Rouche
mesh_terms: D001941:Breast Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D001943:Breast Neoplasms / Q000628:therapy*; D005260:Female; D006801:Humans; D008205:Lymphangitis / Q000000981:diagnostic imaging / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012867:Skin / Q000473:pathology; D018608:Ultrasonography, Doppler
keywords: breast cancer; breast metastasis; cutaneous lymphangitis carcinomatosa; melanoma; skin metastasis