Viswanath Lokesh, Pallade Siddanna, Krishnamurthy B, Naveen T, Preethi B L, Pramod K P R, Reddy Obula, Padma G
Department of Radiation Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
Case Rep Oncol. 2009 Dec 18;2(3):251-254. doi: 10.1159/000262412.
Subcutaneous sarcoidosis (also known as 'Darier-Roussy sarcoid') is a cutaneous condition characterized by numerous deep-seated nodules on the trunk and extremities. Coexistence of sarcoidosis and breast cancer are reported in the literature, but there will always be a chance of misdiagnosis. It is very crucial to obtain a tissue diagnosis of suspicious metastatic lesions. We report a case of breast cancer presenting with a subcutaneous sarcoid lesion masquerading as a metastatic lesion. A 50-year-old female patient, who had had cancer of the left breast, was on hormone therapy 2 years after treatment with surgery, radiotherapy and chemotherapy. The patient presented with a sudden onset of a forehead subcutaneous swelling mimicking metastasis which on excision biopsy was proved to be sarcoidosis. In India, sarcoidosis is reported rarely. We have to keep in mind that there is a chance of the metastatic lesions being of sarcoidosis origin or another granulomatous disease. To avoid misdiagnosis, it is better to obtain a tissue diagnosis.
皮下结节病（也称为“达里埃 - 鲁西结节病”）是一种皮肤疾病，其特征为躯干和四肢出现众多深部结节。文献报道过结节病与乳腺癌并存的情况，但误诊的可能性始终存在。对可疑转移性病变进行组织诊断至关重要。我们报告一例乳腺癌病例，其表现为皮下结节病病变，伪装成转移性病变。一名50岁女性患者，曾患左乳腺癌，在接受手术、放疗和化疗治疗2年后接受激素治疗。该患者突然出现前额皮下肿胀，类似转移瘤，切除活检后证实为结节病。在印度，结节病的报道很少。我们必须牢记，转移性病变有可能起源于结节病或其他肉芽肿性疾病。为避免误诊，最好进行组织诊断。
