Cutaneous metastasis of inflammatory breast carcinoma mimicking an erythema annulare centrifugum: a sign of locally recurrent cancer

Summary Erythema annulare centrifugum (EAC) is a clinical reaction pattern that includes lupus erythematosus, spongiotic dermatitis (particularly pityriasis rosea), pseudolymphoma and cutaneous B‐cell lymphoma. However, it can be the result of cutaneous metastasis by an internal carcinoma. We presen...

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Veröffentlicht in:Clinical and experimental dermatology 2016-12, Vol.41 (8), p.906-910
Hauptverfasser: Sabater, V., Ferrando, F., Morera, A., Palomar, L.
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container_title Clinical and experimental dermatology
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creator Sabater, V.
Ferrando, F.
Morera, A.
Palomar, L.
description Summary Erythema annulare centrifugum (EAC) is a clinical reaction pattern that includes lupus erythematosus, spongiotic dermatitis (particularly pityriasis rosea), pseudolymphoma and cutaneous B‐cell lymphoma. However, it can be the result of cutaneous metastasis by an internal carcinoma. We present the case of a 38‐year‐old woman with bilateral inflammatory breast cancer following multimodal therapy. After chemotherapy, the patient developed EAC on her back, clinically suspect of subacute cutaneous lupus erythematosus. A skin biopsy of annular lesion revealed dermal lymphatic infiltration by inflammatory breast carcinoma. Immunohistochemically, HER2 overexpression and negativity for hormone receptor are the hallmarks of this disease. Cutaneous metastasis by inflammatory breast carcinoma mimicking EAC is rare, and it has not been described in extramammary locations. Its recognition by the dermatologist is important because it can be a clinical manifestation of locally recurrent cancer. Click here for the corresponding questions to this CME article.
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Adult
Breast cancer
Carcinoma - secondary
Diagnosis, Differential
Erythema - pathology
Female
Humans
Inflammatory Breast Neoplasms - pathology
Lupus
Metastasis
Skin Diseases, Genetic - pathology
Skin Neoplasms - secondary
title Cutaneous metastasis of inflammatory breast carcinoma mimicking an erythema annulare centrifugum: a sign of locally recurrent cancer
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