Cutaneous metastasis vs. isolated skin recurrence of invasive breast carcinoma after modified radical mastectomy

Cutaneous metastasis vs. isolated skin recurrence of invasive breast carcinoma after modified radical mastectomy

Code: G-1026

Authors: Mohammad Javad Yavari Barhaghtalab © ℗, Reza Hosseinpour

Schedule: Thursday 2023-12-07 10:45 on Unit Panel B

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Abstract:

Abstract

Five to ten percent of the patients with operable breast cancer develop a chest wall recurrence within 10 years following the mastectomy. One of the most distressing presentations of locally recurrent breast cancer is the appearance of cutaneous metastases. To the best of the authors’ knowledge, there is no study distinguishing skin metastasis from local recurrence, so the main aim of this report was to elucidate if these two features are important in the prognosis and management of the disease. Case Presentation. A 51-year-old woman was referred to the breast clinic due to a painful mass in the left breast. The patient underwent the modified radical mastectomy (MRM) and left axillary lymph node dissection followed by 30 sessions of radiotherapy and 8 sessions of chemotherapy (T3N1M0, ER−, and HER2+). About 15 months after the surgery, she presented with redness and eruptive lesions over the mastectomy scar that increased in size within a three-month follow-up. Conclusion. Mastectomy is not an absolute cure in the treatment of invasive breast cancer because almost always, there is a recurrence risk and possibility of metastasis. It is vital to differentiate between local recurrence and skin metastasis because it would alter the overall treatment decision, prognosis, and patient outcomes.

Keywords

Cutaneous metastasis, isolated skin recurrence, modified radical mastectomy, invasive ductal carcinoma

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