Abstract
Carcinoma erysipeloides (CE) is a relatively rare variant of cutaneous metastasis more often observed in breast cancer than in other carcinomas in women. Clinically, it appears as a well-defined, warm and tender inflammatory erythematous plaque, thus mimicking Erysipelas, Cellulitis or post mastectomy complications of lymphedema and acute radiation dermatitis. We report a case of CE in a women previously treated for infiltrating ductal carcinoma by modified radical mastectomy, chemotherapy and radiotherapy. An early and accurate differential diagnosis of this disease gives the opportunity to diagnose and halt the systemic spread of the cancer.
Highlights
Carcinoma erysipeloides (CE) is an uncommon cutaneous metastasis arising from visceral carcinoma [1]
Various morphological patterns of cutaneous metastasis from breast carcinoma have been described like nodules/papules (80%), carcinoma telengiectoides (11%), carcinoma erysipeloides (3%), encuirasse carcinomas (3%), alopecia neoplastica (2%) and zosteriform (0.8%) [2]
It can be either a primary or secondary with secondary being a commoner presentation [1]. It can occur after chemotherapy, radiotherapy, lymphadenectomy or tumor excision surgery of primary breast carcinoma
Summary
Carcinoma erysipeloides (CE) is an uncommon cutaneous metastasis arising from visceral carcinoma [1]. Carcinoma erysipeloides mimicking radiation dermatitis -- a case report and review of literature. It is the result of spread of tumor cells along deep dermal lymphatic vessels. It is most often associated with breast carcinoma but may be observed in the course of some other malignancies.
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