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 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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Main Authors: Weimann,Ellem Tatiani de Souza, Botero,Erica Bruder, Mendes,Cinthia, Santos,Marcel Alex Soares dos, Stelini,Rafael Fantelli, Zelenika,Caroline Romanelli T.
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Dermatologia 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100105
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spelling oai:scielo:S0365-059620160011001052017-03-03Cutaneous metastasis as the first manifestation of occult malignant breast neoplasiaWeimann,Ellem Tatiani de SouzaBotero,Erica BruderMendes,CinthiaSantos,Marcel Alex Soares dosStelini,Rafael FantelliZelenika,Caroline Romanelli T. Breast neoplasms Neoplasm metastasis Skin 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.info:eu-repo/semantics/openAccessSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia v.91 n.5 suppl.1 20162016-10-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100105en10.1590/abd1806-4841.20164572
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Weimann,Ellem Tatiani de Souza
Botero,Erica Bruder
Mendes,Cinthia
Santos,Marcel Alex Soares dos
Stelini,Rafael Fantelli
Zelenika,Caroline Romanelli T.
spellingShingle Weimann,Ellem Tatiani de Souza
Botero,Erica Bruder
Mendes,Cinthia
Santos,Marcel Alex Soares dos
Stelini,Rafael Fantelli
Zelenika,Caroline Romanelli T.
Cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
author_facet Weimann,Ellem Tatiani de Souza
Botero,Erica Bruder
Mendes,Cinthia
Santos,Marcel Alex Soares dos
Stelini,Rafael Fantelli
Zelenika,Caroline Romanelli T.
author_sort Weimann,Ellem Tatiani de Souza
title 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_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_sort cutaneous metastasis as the first manifestation of occult malignant breast neoplasia
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.
publisher Sociedade Brasileira de Dermatologia
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016001100105
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