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      • Record: found
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      Cutaneous metastasis of a breast cancer diagnosed 13 years before*

      case-report

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          Abstract

          Metastasis is defined as a neoplastic lesion originating from another primary tumor, with which it is no longer in contact. Cutaneous metastases result from lymphatic embolization, hematogenous or contiguous dissemination or also direct implantation during surgical procedures. In women, the tumor most likely to metastasize to skin is breast cancer, which may manifest as papulonodular neoplastic lesions. We report the case of a 66 years old female patient, presenting papulonodular lesions13 years after the initial treatment with surgery and chemotherapy for a cancer of the left breast.

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          Cutaneous metastases in patients with metastatic carcinoma: a retrospective study of 4020 patients.

          D P Lookingbill, N Spangler, K F Helm (1993)
          Most previous studies have found that cutaneous metastases occur infrequently and are rarely present at the time the cancer is initially diagnosed. We studied patients with metastatic cancer to determine the overall frequency of skin metastases, the frequency that these were the first sign of extranodal disease, and the clinical and histologic features of the cutaneous lesions. A 10-year period of tumor registry files was searched for patients with metastatic carcinoma and melanoma. For patients with skin metastases, medical records and pathology reports were also examined. Of 4020 patients with metastatic disease, 420 (10%) had cutaneous metastases; in 306 of them the skin metastases were the first sign of extranodal metastatic Breast cancer and melanoma were the most common. Nodules were the most frequent clinical presentation, although inflammatory, cicatricial, and bullous lesions were also noted. Incisional metastases were common. Histologic findings most frequently revealed adenocarcinoma that was sometimes suggestive of the site of origin. After recognition of skin metastases, mean patient survival ranged from 1 to 34 months depending on tumor type. Cutaneous metastases are not uncommon and frequently are the first sign of extranodal metastatic disease, particularly in patients with melanoma, breast cancer, or mucosal cancers of the head and neck.
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            Cutaneous manifestations of breast carcinoma.

            Vincenzo de Giorgi, Marta Grazzini, Barbara Alfaioli … (2015)
            The incidence of breast carcinoma cutaneous manifestation in patients with breast carcinoma is 23.9%. The most common sites of breast carcinoma cutaneous manifestation are the chest wall and abdomen, but they can occur at the extremities and in the head/neck region. Due the high incidence of breast carcinoma, these cutaneous manifestations are the most common metastases seen by dermatologists. In clinical practice, cutaneous metastases show a wide range of clinical manifestations. Nodules are the most common presentation, but several other patterns are described below. © 2010 Wiley Periodicals, Inc.
            Article 0 comments Cited 34 times – based on 0 reviews     Review now
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              Breast cancer and thoracic metastases: review of 119 patients.

              Ariel T. H. Frank, R Margolese, H Kreisman … (1983)
              Review of the case notes of 660 patients with a diagnosis of breast cancer during a five-year period showed that in 119 cases there had been thoracic metastases. These were recorded as pleural or extrapleural metastases (79 patients), mediastinal tumour (46 patients), lymphangitic carcinoma (41 patients), pulmonary nodules (34 patients), and solitary pulmonary nodule (nine patients). Endobronchial metastases were present in seven patients and multiple pulmonary tumour emboli in two. The thorax was often the initial site of tumour recurrence. Most of these recurrences were present in several locations (intrathoracic or both intrathoracic and extrathoracic) simultaneously, facilitating the clinical diagnosis of metastatic breast cancer. Histopathological confirmation of metastasis was mandatory for the 10 patients who had a solitary intrathoracic abnormality without evidence of disease elsewhere. The median survival after diagnosis and treatment of a solitary thoracic metastasis was 42+ months and three of 10 patients are currently in remission (at 44, 87, and 121 months). The small tumour burden and early diagnosis giving lead time may explain the long survival in this group of patients.
              Article 0 comments Cited 19 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): An Bras Dermatol
                Journal ID (iso-abbrev): An Bras Dermatol
                Title: Anais Brasileiros de Dermatologia
                Publisher: Sociedade Brasileira de Dermatologia
                ISSN (Print): 0365-0596
                ISSN (Electronic): 1806-4841
                Publication date (Print and electronic): May-Jun 2015
                Publication date (Print): May-Jun 2015
                Volume: 90
                Issue: 3 Suppl 1
                Pages: 134-137
                Affiliations
                [1 ]Universidade Federal do Pará (UFPA) - Belém (PA), Brazil.
                [2 ]Private Clinic - Belém (PA), Brazil.
                Author notes
                MAILING ADDRESS: Maraya de Jesus Semblano Bittencourt, Avenida Generalíssimo Deodoro, 91, Umarizal, 66055-240 - Belém - PA, Brazil. E-mail: marayabittencourt@ 123456hotmail.com

                Conflict of Interest: None.

                Article
                DOI: 10.1590/abd1806-4841.20153842
                PMC ID: 4540530
                SO-VID: 63c3d89a-e545-4fdd-924e-71141aa6f444
                Copyright © © 2015 by Anais Brasileiros de Dermatologia
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 16 July 2014
                Date accepted : 07 August 2014
                Categories
                Subject: Case Report

                Keywords: breast neoplasms,histology,neoplasm metastasis
                Data availability:
                Keywords: breast neoplasms, histology, neoplasm metastasis

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