Abstract
A 38-year-old woman with a history of breast cancer presented with a slowly progressive erythematous, indurated, warm plaque at the right side of the anterior chest wall around her operation scar (Fig 1). Two years before radical mastectomy was performed because of an infiltrating ductal carcinoma of the right breast. Lymphatic and eventually bone metastases were detected. Current medication consisted of trastuzumab and vinorelbin. Patient did not have fever. A skin biopsy demonstrated large hyperchromatic carcinoma cells between collagen fibers, which stained positive for HER2/neu confirming metastatic breast carcinoma (Fig 2).
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