Perspectives in Medical Research

Volume: 5 Issue: 1

  • Open Access
  • Case Report

Carcinoma en cuirasse: The body shield that has grave prognosis

Manjunath Hulmani1,Harish Mallela2,Linganagouda S Patil3, Jagannath Kumar V4

1Asociate Professor,2 Post Graduate Student,4Professor and Head, Department of Dermatology,3Professor,Department of Oncosurgery, SS Institute of Medical Sciences and Research Centre, Davanagere, Karnataka, India.
Address for correspondence: Dr. Manjunath Hulmani, Associate Professor, Dept. Of Dermatology, Venereology and Leprology , Room No. 8, OPD Main Block, SSIMS & RC, Davanagere. 577005.Ph. No. +91 9449201783.
Email: [email protected]

Year: 2017, Page: 72-74,

Abstract

Summary: Carcinoma en cuirasse is a rare form of cutaneous metastasis. Like other cutaneous metastasis, Carcinoma en cuirasse signifies advanced malignant disease with poor prognosis and short survival. We report a 45 year old woman, known case of infiltrating ductal carcinoma of the right breast and had received treatment with neoadjuvant chemotherapy followed by surgery, presented with seven month history of progressive appearance of multiple nodular lesions on the chest. Diagnosis of carcinoma en cuirasse was made based on clinical and histopathological features. Cutaneous metastasis signifies the persistence of primary cancer after treatment, and dramatically alters the therapeutic plans. Due to the high incidence of cutaneous manifestations of breast carcinoma, every practitioner should be highly suspicious of any acute-onset, persistent, firm papulonodules, especially on the chest.

Keywords: Carcinoma en cuirasse, infiltrating ductal carcinoma, breast carcinoma, cutaneous metastasis.

References

1. Sariya D, Ruth K, Adams-McDonnell R, et al. Clinicopathologic correlation of cutaneous metastases: experience from a cancer center. Arch Dermatol 2007;143:613-20.
2. Salati SA, Rather AA. Carcinoma en cuirasse. Journal of Pakistan Association of Dermatologists 2013;23(4): 452- 4.
3. Schwartz RA. Cutaneous metastatic disease. J Am Acad Dermatol 1995;33:161–82.
4. Lookingbill DP, Spangler N, Helm KF. Cutaneous metastases in patients with metastatic carcinoma: a retrospective study of 4020 patients. J AmAcad Dermatol 1993;29:228–36.
5. De Giorgi V, Grazzini M, Alfaioli B, et al. Cutaneous manifestations of breast carcinoma. Dermatol Ther 2010;23:581-9.
6. Lacout A, Marcy PY, Lesecc G. Longstanding scirrhous breast carcinoma en cuirasse. Breast Care (Basel) 2010;5:327-9.
7. Mullinax K, Cohen JB. Carcinoma en cuirasse presenting as keloids of the chest Dermatol Surg 2004;30:226-8.
8. Somerville JE, Biggart JD. Fibromatosis of the breast: a benign lesion which simulates a carcinoma. Ulster Med J 1989;58:97-9.
9. Arapovic SJ, Simic L. Cutaneous metastases--carcinoma en cuirasse. Acta Dermatovenerol Croat 2002;10:167-70.
10. Vano-Galvan S, Moreno-Martin P, Salguero I, et al. Cutaneous metastases of breast carcinoma: a case report. Cases J 2009;2(1):71.

Cite this article

Hulmani M,Mallela H,Patil S L, Kumar V J. Carcinoma en cuirasse: The body shield that has grave prognosis. Perspectives in medical research 2017;5(1):72-74.

Views
145
Downloads
358