Khoo H Y, Tan W J, Cheong Y T
Penang General Hospital, Department of General Surgery, Penang, Malaysia.
Med J Malaysia. 2018 Feb;73(1):44-45.
Patients with breast cancer normally present with breast lump or abnormal mammogram. Dermatomyositis is rarely the first presentation. We present a case of a 63-year-old woman who had generalised dermatitis, progressive fatigue and muscle weakness. She was first diagnosed as dermatomyositis and subsequently breast cancer. Her rash and muscle weakness progressed drastically over a month. Tumescent mastectomy and axillary surgery was performed, which led to gradual regression of her dermatomyositis over six months. This case report emphasized in the benefit of early diagnosis and treatment of dermatomyositis and breast cancer. Pros and cons of tumescent mastectomy is discussed as well.
乳腺癌患者通常表现为乳房肿块或乳房X光检查异常。皮肌炎很少是首发表现。我们报告一例63岁女性病例，她有全身性皮炎、进行性疲劳和肌肉无力。她最初被诊断为皮肌炎，随后被诊断为乳腺癌。她的皮疹和肌肉无力在一个月内急剧进展。进行了肿胀乳腺切除术和腋窝手术，这导致她的皮肌炎在六个月内逐渐消退。本病例报告强调了早期诊断和治疗皮肌炎及乳腺癌的益处。同时也讨论了肿胀乳腺切除术的优缺点。
