Nava Guillermina, Greer Kenneth, Patterson James, Lin Kant Y
Departments of Plastic Surgery.
Can J Plast Surg. 2009 Spring;17(1):25-7. doi: 10.1177/229255030901700105.
Cutaneous metastatic carcinoma, also known as carcinoma erysipeloides, is an unusual clinical finding. In women, it is most frequently found in association with breast cancer rather than other visceral malignancies. Breast cancer patients can present with cutaneous manifestations of breast disease at the time of their initial diagnosis; however, cutaneous metastases more often present well after the initial diagnosis and treatment of the breast disease. Prompt recognition of skin metastases by the plastic surgeon, especially during the delayed setting of reconstructive surgery following mastectomy, allows for earlier intervention in treating the systemic spread of the disease. A clinical case of carcinoma erysipeloides presenting in this delayed setting is outlined in the present report, along with a review of the literature.
皮肤转移性癌,也称为丹毒样癌,是一种不常见的临床发现。在女性中,它最常与乳腺癌相关,而非其他内脏恶性肿瘤。乳腺癌患者在初次诊断时可能出现乳腺疾病的皮肤表现;然而,皮肤转移瘤更多在乳腺疾病初次诊断和治疗后很久才出现。整形外科医生及时识别皮肤转移瘤,尤其是在乳房切除术后延迟进行重建手术时,有助于更早干预以治疗疾病的全身扩散。本报告概述了在这种延迟情况下出现的丹毒样癌临床病例,并对相关文献进行了综述。