Metastatic cutaneous breast carcinoma: A case report and review of the literature

Abstract

Cutaneous metastatic carcinoma, also known as carcinoma erysipeloides, is an unusual clinical finding. In women, it is most frequently found in association with breast cancer rather than other visceral malignancies. Breast cancer patients can present with cutaneous manifestations of breast disease at the time of their initial diagnosis; however, cutaneous metastases more often present well after the initial diagnosis and treatment of the breast disease. Prompt recognition of skin metastases by the plastic surgeon, especially during the delayed setting of reconstructive surgery following mastectomy, allows for earlier intervention in treating the systemic spread of the disease. A clinical case of carcinoma erysipeloides presenting in this delayed setting is outlined in the present report, along with a review of the literature.

Keywords: Breast cancer; Carcinoma erysipeloides; Cutaneous metastases.

Figure 1)

Erythematous macular-papular rash with induration along the upper inner quadrant of the native breast skin adjacent to the flap

Figure 2)

Low- and high-power views of inflammatory carcinoma of the breast. A At low magnification, discrete islands of tumour cells are identified within the dermis; B At higher magnification, neoplastic cells can be seen to occupy lymphatic vessels lined by thin layers of endothelium

Figure 3)

Classic representation of carcinoma erysipeloides. Patient status post left mastectomy with subsequent development of erythematous patch at mastectomy site