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病例报告:一名中年女性的铠甲状癌,酷似放疗后硬斑病。

Case Report: Carcinoma en Cuirasse in a Middle-Aged Woman Mimicking Postirradiation Morphea.

作者信息

Wang Haiqing, Bao Chengbei, Gong Ting, Ji Chao

机构信息

Department of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Central Laboratory, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.

出版信息

Front Oncol. 2021 Oct 21;11:747123. doi: 10.3389/fonc.2021.747123. eCollection 2021.

DOI:10.3389/fonc.2021.747123
PMID:34745972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8566709/
Abstract

Breast carcinoma en cuirasse (CeC) is an extremely rare form of cutaneous metastases of breast cancer, characterized by diffuse sclerodermoid induration of the skin. It may be difficult to distinguish CeC from some skin diseases, including postirradiation morphea, inflammatory breast cancer, radiation dermatitis, and other cutaneous metastases, but it can be easily discerned by histology. Because of the small number of documented cases, the treatment consensus has not been clearly defined. Here, we show a 45-year-old woman with grade III infiltrating ductal carcinoma manifesting as CeC to the chest wall. Early diagnosis and treatment are essential to prevent the catastrophic natural progression of this rare malignancy.

摘要

乳房铠甲样癌(CeC)是一种极为罕见的乳腺癌皮肤转移形式,其特征为皮肤弥漫性硬皮病样硬结。可能难以将CeC与某些皮肤疾病区分开来,包括放疗后硬斑病、炎性乳腺癌、放射性皮炎及其他皮肤转移瘤,但通过组织学检查可轻易辨别。由于记录在案的病例数量较少,治疗共识尚未明确界定。在此,我们展示了一名45岁患有III级浸润性导管癌的女性,其表现为胸壁的CeC。早期诊断和治疗对于预防这种罕见恶性肿瘤的灾难性自然进展至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/8566709/5cb605320ff7/fonc-11-747123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/8566709/7dde2ddd3116/fonc-11-747123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/8566709/5cb605320ff7/fonc-11-747123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/8566709/7dde2ddd3116/fonc-11-747123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/8566709/5cb605320ff7/fonc-11-747123-g002.jpg

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本文引用的文献

1
Breast Cancer: Current Perspectives on the Disease Status.乳腺癌:疾病现状的当前观点。
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Carcinoma en cuirasse.铠甲状癌
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JAAD Case Rep. 2016 Aug 13;2(4):317-9. doi: 10.1016/j.jdcr.2016.06.006. eCollection 2016 Jul.
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Carcinoma en cuirasse as an initial manifestation of inflammatory breast cancer.铠甲样癌作为炎性乳腺癌的初始表现
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Primary breast carcinoma en cuirasse derived from invasive lobular carcinoma: the first case report.源于浸润性小叶癌的原发性铠甲样乳腺癌:首例病例报告。
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[Survival after cutaneous metastasis: a study of 200 cases].[皮肤转移后的生存情况:200例病例研究]
Ann Dermatol Venereol. 2001 Dec;128(12):1310-5.
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