Abstract

Cutaneous metastasis from internal malignancies are significant from diagnostic point of view considering their variable clinical presentation. Although, carcinoma breast is a common primary cancer in females producing skin metastasis, it is rather an uncommon site as common metastatic sites include lymph node, bone, lung, liver etc. Here we present a case of cutaneous metastasis in a 54 years old female who presented with complaints of a nodular swelling for three years. The skin over the swelling showed discoloration. Patient was a known case of carcinoma breast for which she had been operated on and had received treatment eight years back. FNAC done from the swelling showed typical metastatic foci of infiltrating duct carcinoma. The case is being reported in view of its classical cytological picture and its uncommon site of presentation. Keywords: FNAC, Cutaneous metastasis, Infiltrating Duct Carcinoma(IDC), Cytology.

Highlights

  • Cutaneous metastases are significant from clinical point of view as these lesions can deceptively resemble primary skin tumors. 1The incidence of skin metastasis varies but is somewhere between 3-10% in patients with a primary malignant tumor

  • A 54 years old female had presented with complaints of a nodular swelling along with lymphedema on the left forearm since 3 years, which had turned painful

  • The patient had reported to the hospital and had undergone FNAC procedure of the nodular swelling on the left forearm

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Summary

Introduction

Cutaneous metastases are significant from clinical point of view as these lesions can deceptively resemble primary skin tumors. 1. Cutaneous metastases are significant from clinical point of view as these lesions can deceptively resemble primary skin tumors. 1. The incidence of skin metastasis varies but is somewhere between 3-10% in patients with a primary malignant tumor. Most common ones are melanoma (45%), breast cancer (30%), nasal sinus cancers (20%), cancer of the larynx and cancer of the oral cavity (12%) cases. 2. Carcinoma en cuirasse is a term used for metastatic breast malignancy, occurring most commonly on the chest as a recurrence of breast cancer. Carcinoma en cuirasse is a term used for metastatic breast malignancy, occurring most commonly on the chest as a recurrence of breast cancer 3. FNAC is a rapid technique which can be used to get the primary diagnosis in such lesions

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