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Case reports

Carcinoma en cuirasse: The body shield that has grave prognosis

Year : 2017 | Volume : 5 | Issue : 1 Page : 72 - 74

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: manjunathhulmani@gmail.com

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.

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