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Spring 2018, Vol. 26 No. 1

Hong Kong J. Dermatol. Venereol. (2018) 26, 23-26


Case Report

Livedoid presentation of erysipeloid metastatic breast carcinoma: a case report and short review of the literature

表現為皮膚青斑的乳癌丹毒樣轉移:病例報告和簡短的文獻回顧

JP Vukićević, ZM Bogdanović, DD Dobrosavljević

Abstract

Breast cancer cutaneous metastases (BCCM) have variable clinical presentations that are often non-specific, and usually occur in patients with advanced malignancies. Occasionally, BCCM precede the detection of internal metastases. We present a 41-year-old woman whose BCCM reappeared in a nonspecific, livedoid pattern four years after she underwent a mastectomy. Despite aggressive therapy and the fact that she had no internal metastases, there was a rapid deterioration in her illness. This case demonstrates the value of following up with patients to evaluate cutaneous lesions for signs of breast cancer in spite of their sometimes benign clinical representation.

乳癌皮膚轉移的臨床表現千變萬化,並以非特異性為主,常發生在晚期惡性腫瘤患者身上。偶爾,乳癌的皮膚轉移比內部轉移較早檢測到。我們陳述了一名41歲的女性,她在接受乳房切除手術四年後,乳癌的復發呈現為非特異性青斑模樣的皮膚轉移。儘管沒有內部轉移,再加上積極的治療,但她的病情仍迅速惡化。這病例證明跟進乳癌患者時一併檢查皮膚病變是否乳癌相關的價值,因有時看似良性的皮膚臨床表現實是乳癌轉移的病徵。

Keywords: Breast carcinoma, carcinoma erysipeloides, cutaneous metastases

關鍵詞: 乳癌、丹毒樣癌、皮膚轉移