Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia

Abstract Cutaneous metastases from primary internal malignancies represent 0.7-9% of patients with cancer. We report a 65-year-old female patient referred for evaluation of normochromic papules on the trunk and upper limbs that had been present for three months. A skin biopsy revealed diffuse cutane...

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Main Authors: Ellem Tatiani de Souza Weimann, Erica Bruder Botero, Cinthia Mendes, Marcel Alex Soares dos Santos, Rafael Fantelli Stelini, Caroline Romanelli T. Zelenika
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2016-10-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100105&tlng=en
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author Ellem Tatiani de Souza Weimann
Erica Bruder Botero
Cinthia Mendes
Marcel Alex Soares dos Santos
Rafael Fantelli Stelini
Caroline Romanelli T. Zelenika
author_facet Ellem Tatiani de Souza Weimann
Erica Bruder Botero
Cinthia Mendes
Marcel Alex Soares dos Santos
Rafael Fantelli Stelini
Caroline Romanelli T. Zelenika
author_sort Ellem Tatiani de Souza Weimann
collection DOAJ
description Abstract Cutaneous metastases from primary internal malignancies represent 0.7-9% of patients with cancer. We report a 65-year-old female patient referred for evaluation of normochromic papules on the trunk and upper limbs that had been present for three months. A skin biopsy revealed diffuse cutaneous infiltration by small round cell tumors. Immunohistochemistry was positive for AE1/AE3, CK7, estrogen receptor and mammaglobin. The final diagnosis was cutaneous metastasis of occult breast cancer, since the solid primary tumor was not identified. The location of the primary tumor can not be determined in 5-10% of cases. In these cases, 27% are identified before the patient’s death, 57% at autopsy, and the remaining 16% can not be located.
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spelling doaj.art-4dc99ef0cb5f4eb9a7377934453af9002022-12-21T21:23:34ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962016-10-01915 suppl 110510710.1590/abd1806-4841.20164572Cutaneous metastasis as the first manifestation of occult malignant breast neoplasiaEllem Tatiani de Souza WeimannErica Bruder BoteroCinthia MendesMarcel Alex Soares dos SantosRafael Fantelli SteliniCaroline Romanelli T. ZelenikaAbstract Cutaneous metastases from primary internal malignancies represent 0.7-9% of patients with cancer. We report a 65-year-old female patient referred for evaluation of normochromic papules on the trunk and upper limbs that had been present for three months. A skin biopsy revealed diffuse cutaneous infiltration by small round cell tumors. Immunohistochemistry was positive for AE1/AE3, CK7, estrogen receptor and mammaglobin. The final diagnosis was cutaneous metastasis of occult breast cancer, since the solid primary tumor was not identified. The location of the primary tumor can not be determined in 5-10% of cases. In these cases, 27% are identified before the patient’s death, 57% at autopsy, and the remaining 16% can not be located.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100105&tlng=enBreast neoplasmsNeoplasm metastasisSkin
spellingShingle Ellem Tatiani de Souza Weimann
Erica Bruder Botero
Cinthia Mendes
Marcel Alex Soares dos Santos
Rafael Fantelli Stelini
Caroline Romanelli T. Zelenika
Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
Anais Brasileiros de Dermatologia
Breast neoplasms
Neoplasm metastasis
Skin
title Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
title_full Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
title_fullStr Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
title_full_unstemmed Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
title_short Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
title_sort cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
topic Breast neoplasms
Neoplasm metastasis
Skin
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100105&tlng=en
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