International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

     
Case Report
 
Cutaneous metastatic breast adenocarcinoma twenty years post-mastectomy: A lesson to learn
Armand Asarian1, Olubunmi Esan2, Philip Xiao3, Segun Adeoye4
1MD, Consultant Surgeon, Program Director, General Surgery Residency Program, Department of Surgery, The Brooklyn Hospital Center (TBHC), Brooklyn, NY, USA.
2MD, General Surgery Resident, Department of Surgery, The Brooklyn Hospital Center, Brooklyn, NY, USA.
3MD, Consultant Pathologist, Department of Pathology, The Brooklyn Hospital Center, Brooklyn, NY, USA.
4MD, MS, Attending Physician, Hospital Unit, University of Pittsburgh Medical Center (UPMC), Horizon, Greenville, PA, USA. Former Resident, The Brooklyn Hospital Center.

doi:10.5348/ijcri-2014108-CR-10419

Address correspondence to:
Segun Adeoye
MD, MS, Attending Physician, Hospital Unit
University of Pittsburgh Medical Center (UPMC), Horizon
Greenville, PA
USA
Former Resident, The Brooklyn Hospital Center
Phone: +19174995846
Email: adeoyesp@upmc.edu, deoye.segun@yahoo.com

Access full text article on other devices

  Access PDF of article on other devices

[HTML Abstract]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article
Asarian A, Esan O, Xiao P, Adeoye S. Cutaneous metastatic breast adenocarcinoma twenty years post-mastectomy: A lesson to learn. Int J Case Rep Images 2014;5(9):614–618.


Abstract
Introduction: Cutaneous metastasis complicating solid organ malignancy is a common clinical entity, and the primary is often metastatic breast cancer. Skin metastasis from breast cancer occurs in about 25% of breast cancer patients.
Case Report: We present a case report of a patient with a history of modified left radical mastectomy and chemo-therapy for breast cancer twenty years earlier, who presented for surgical evaluation of multiple painful skin lesions. Initial punch biopsy of skin lesions reported negative for malignancy. Surgical biopsy provided tissue which demonstrated a rare histopathological morphology for cutaneous metastatic breast adenocarcinoma.
Conclusion: This report makes the case for considering surgical biopsy when conventional biopsy reports negative for malignancy, especially in the setting of remote or recent cancer history. It also advises prolonged relapse surveillance, well beyond the current protocol, as well as development of prognostic markers for identifying patients at risk of long disease latency after primary treatment.

Keywords: Cutaneous metastasis, Metastatic breast cancer, Breast cancer with cutaneous metastasis, Cutaneous metastatic breast adenocarcinoma


[HTML Abstract]   [PDF Full Text]

Author Contributions
Armand Asarian – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Olubunmi Esan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Philip Xiao – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Segun Adeoye – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Armand Asarian et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Armand Asarian is a Colorectal Surgeon at Brooklyn Hospital Center. He is the Vice Chair of the Department of Surgery, and doubles as Director of its General Surgery Residency Program. Dr. Asarian is credited with a number of academic publications. Email: apa9001@nyp.org



Olubunmi Esan is the Chief Resident in the Department of General Surgery at Brooklyn Hospitalist Center. He earned MB,BS degrees from the University of Lagos, Nigeria. He has interests in general and vascular surgery and intends to complete Fellowship training in vascular surgery. Dr. Esan is credited with a number of academic publications. Email: ooe9001@nyp.org



Philip Xiao is the Chair of the Department of Pathology at Brooklyn Hospital Center. Dr. Xiao is credited with a number of academic publications. Email: pqx9001@nyp.org



Segun Adeoye is a Hospitalist at University of Pittsburgh Medical Centers in Greenville and Shenango Valley, Pennsylvania, USA. Heearned MBBS degrees from the College of Medicine of University of Lagos, Nigeria. He has published 11 research papers and peer-reviewed articles in national and international academic journals and authored a book titled "Synopsis of Medical Biochemistry- A MediLag Experience". His research interests include primary care, preventive medicine, hospital medicine, complementary and integrative medicine. He is currently a Fellow at the University of Arizona Complimentary and Integrative Medicine Program. He intends to pursue a PhD in bio-informatics. Email: Adeoye.segun@yahoo.com; adeoyesp@upmc.edu




  Home line About IJCRI line Aim and Scope line Sections line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.