Alopecia neoplastica: An uncommon presentation of metastatic breast carcinoma
| Autor: | Maria Cristina Mejia Briceño, Luisa Kelmer Côrtes de Barros Silveira, Bernard Kawa Kac, Thais Schiavo Moraes, Fernanda Helena Craide, Felipe Ladeira de Oliveira |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Pathology lcsh:Surgery Metastasis Breast cancer breast cancer lcsh:Dermatology Medicine metastasis skin and connective tissue diseases Alopecia neoplastica integumentary system skin cancer business.industry Alopecia lcsh:RD1-811 Alopecia areata lcsh:RL1-803 medicine.disease Dermatology medicine.anatomical_structure Scalp Adenocarcinoma Skin cancer Differential diagnosis business |
| Zdroj: | Journal of Surgical Dermatology, Vol 2, Iss 1 (2016) |
| ISSN: | 2424-9165 2424-9084 |
| Popis: | Cutaneous metastasis may correspond to the initial clinical presentation of hidden internal malignancies. In patients presenting said neoplasia, clinical manifestations of breast cancer reaches 23.9%. Considering that neoplastic alopecia appears as an unusual pattern of the said metastasis, this report describes a case of such uncommon neoplastic alopecia which presents itself as a cutaneous metastasis of rapid progression in a patient with prior breast cancer history. We present a 47-year-old female patient reporting lesions at the scalp, and who was asymptomatic with a 1-year evolution. The patient reported prior breast cancer history and presence of lung metastasis, and was undergoing chemotherapy at the time of consultation. A dermatological evaluation showed only a nodular lesion with erythematous surface and a diameter measuring about 4 cm, firm in consistency, and immovable. She was routed to the Department of Dermatological Surgery, and the results from histopathology were consistent with a diagnosis of metastatic breast adenocarcinoma. Neoplastic alopecia appears as an unusual form of cutaneous metastasis which is predominantly described in association with breast cancer. The lesion’s clinical features play a crucial role at the differential diagnosis, as the presence of erythema could distinguish neoplastic alopecia from alopecia areata. The existence of cutaneous metastasis leads to unfavorable outcomes. As a conclusion, cutaneous evaluation of patients is essential for treating visceral metastases, since the forms of cutaneous metastasis are diverse and can also affect the scalp. |
| Databáze: | OpenAIRE |
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