Carcinoma-en-cuirasse secondary to breast cancer: a report of two cases
Keywords:
Advanced breast cancer, dermal complications, limited experience, poor prognosisAbstract
Background: Breast cancer is the most common malignancy seen in our practice and usually present with a painless lump. It may infrequently present with dermal manifestations or complications. These includes carcinoma-en-cuirasse which is a rare dermal complication of advanced invasive breast cancer where the skin of the chest wall is infiltrated by tumour cells and appears as nodules and plaques. It occurs in either gender though more common in females. Carcinoma-en-cuirasse is associated with a poor prognosis and experience managing this rare complication of breast cancer is limited.
Aim: To highlight the clinical presentation and management challenges of carcinoma-en-cuirasse.
Methods: A report of two cases of carcinoma-en-cuirasse seen in a breast care unit of a university affiliated hospital.
Conclusion: Carcinoma-en-cuirasse is a rare dermal complication of breast cancer which responds poorly to treatment and carries a poor prognosis.
References
Chan KS, Zeng D, Leung JH, Ooi BS, Kong KT, Yeo YI, Goo JT, Chia CL. Measuring upper limb function and patient reported outcomes after major breast cancer surgery: a pilot study in Asian cohort. BMC Surgery 2020; 20: 108
Ocampo O, Londono L, Lopera M. carcinoma en cuirasse: Reason for Initial Consultation in a Breast Clinic. Arch Clin Med Case Rep 2019; 3: 579 – 584
Mahore S, Bothale K, Patikar A, Joshi A. Carcinoma en cuirasse; A rare presentation of breast cancer. Indian J Pathol Microbiol 2010; 53; 351-8
Prajapati S, Vats M, Goel A, Jain A. Carcinoma en cuirasse in a young female. BMJ Case Rep 2017. Doi: 10.1136/bcr-2017-222401
Ashlee L, Culver B, Metter D, Pippen J. Carcinoma en cuirasse. Proc Bayl Univ Med Cent. 2019; 3:263-265
Reich A, Samotij D, Szczech J, Wozniak Z, Szepietowski J. carcinoma en cuirasse as an initial manifestation of inflammatory breast cancer. Adv Dermatol Allergol 2016; XXXIII: 142-145
Sainsbury R. The breast. In Williams N, Bulstrode C, O’Çonnell P(Eds). Short Practice of Surgery, Ed 25, London, Hodder Arnold, 2008, pp 827-848
Wang H, Bao C, Gong T, Ji C. Case Report: Carcinoma en cuirassein a middle-aged woman mimicking post irradiation morphea. Front. Oncol. 2021; 11:274123 doi: 10.3389/fonc.2021.747123
Culver AL, Metter DM, Pippen JE. Carcinoma en cuirasse. Baylor University Medical Center Proceedings. 2019;32: 263-265
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