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Case Report
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| Scalp metastasis in a male breast cancer: A case report | ||||||
| Ritam Joarder1, Kakali Choudhury2, Krishnangshu Bhanja Choudhury3, Arya Sen4, Debangshu Bhanja Choudhury5, Srikrishna Mandal6 | ||||||
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1Junior Resident, Department of Radiotherapy, RG Kar Medical College and Hospital, Kolkata 700004. West Bengal, India.
2Assistant Professor, Department of Radiotherapy, RG Kar Medical College and Hospital, Kolkata 700004. West Bengal, India. 3RMO-cum-Clinical tutor, Department of Radiotherapy, RG Kar Medical College and Hospital, Kolkata 700004. West Bengal, India. 4Junior Resident, Department of Pathology, RG Kar Medical College and Hospital, Kolkata 700004. West Bengal. India. 5RMO-cum-Clinical tutor, Department of General Surgery, Calcutta National Medical college and Hospital, Kolkata. West Bengal, India. 6Professor, Department of Radiotherapy, RG Kar Medical College and Hospital, Kolkata 700004. West Bengal, India. | ||||||
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| How to cite this article: |
| Joarder R, Choudhury K, Choudhury KB, Sen A, Choudhury DB, Mandal S. Scalp metastasis in a male breast cancer: A case report. International Journal of Case Reports and Images 2014;5(1):23–27. |
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Abstract
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Introduction:
Breast cancer in males is a rare disease accounting for less than 1% of all cancers in men. Common sites for metastases are bones, lungs, liver and brain. Exact incidences of cutaneous metastases in male breast cancer patients have not been reported.
Case Report: A 68-year-old male was admitted for superior vena cava obstruction (SVCO). Biopsy from left breast tumor was diagnostic of triple-negative breast cancer (TNBC) Blooms Richardson grade was 7/9. Fine-needle aspiration cytology (FNAC) from an ulcerated, firm to hard, 3x3 cm tender scalp mass was suggestive of metastatic adenocarcinoma. Clinically staged as T4b, N0, M1. After two cycles of FEC (fluorouracil (5FU), epirubicin and cyclophosphamide) chemotherapy, the patient condition deteriorated with fall in left ventricular ejection fraction (LVEF) to 45% and appearance of multiple skin nodules. Though the primary and metastatic scalp lesions were reduced in size, no further treatment was attempted. He was put on best supportive care and at the time of last follow up in June, 2012, was stable, eastern cooperative oncology group (ECOG) status 3, pericardial effusion was treated with closed balloon pericardiotomy and was on 24 hours schedule of oral morphine analgesics. Conclusion: Ductal carcinoma in situ comprises approximately 10% breast cancers in men. The most common growth patterns are papillary and cribriform, and the majority of these tumors are low grade. Male breast cancers have high rates of hormone-receptor expression. Approximately 90% of male breast cancers express the estrogen receptor, and 81% express the progesterone receptor. The rates of hormone-receptor positivity increase with increasing patient age. We report here a rare case of scalp metastasis in an TNBC elderly male patient presenting with SVCO. | |
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Keywords:
Male breast cancer, Scalp metastasis, Trucut biopsy, Superior vena cava obstruction (SVCO)
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Author Contributions
Ritam Joarder – 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 Kakali Choudhury – 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 Krishnangshu Bhanja Choudhury – 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 Arya Sen – 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 Debangshu Bhanja Choudhury – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Srikrishna Mandal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Ritam Joarder et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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