Patel Jigna, Pariath Kira
Department of Skin and V.D, Civil Hospital, B. J. Medical College, Ahmedabad, Gujarat, India.
Indian Dermatol Online J. 2023 Nov 24;15(4):637-639. doi: 10.4103/idoj.idoj_324_23. eCollection 2024 Jul-Aug.
Here, we present a case of carcinoma telangiectoides in an unknown case of breast carcinoma presenting as multiple discrete to confluent, raised, solid, erythematous to skin-colored papules to plaques approximately 0.5-2 cm in size over an erythematous base over the chest. On the basis of clinical, histopathological, and immunohistochemical findings, a diagnosis of carcinoma telangiectoides was made. Diagnosis is difficult due to varying clinical presentations, but histopathology aids in the diagnosis. Through the present case, dermatologists should become aware of the diverse manifestations of cutaneous involvement of breast cancer. Early detection of cutaneous involvement may provide a window of opportunity for timely diagnosis and treatment of the primary tumor and prevent spread.
在此,我们报告一例乳腺肿瘤性毛细血管扩张症,该病例为一名未知的乳腺癌患者,表现为胸部出现多个分散至融合的、隆起的、实性的、红斑至肤色的丘疹及斑块,大小约0.5 - 2厘米,基底呈红斑状。根据临床、组织病理学和免疫组化结果,诊断为肿瘤性毛细血管扩张症。由于临床表现各异,诊断较为困难,但组织病理学有助于诊断。通过本病例,皮肤科医生应认识到乳腺癌皮肤受累的多种表现形式。早期发现皮肤受累可为原发性肿瘤的及时诊断和治疗提供机会窗口,并防止其扩散。