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Blue Lymphangitis of the Breast after Breast Cancer: Case Report |
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| Authors: | Alexandra Arfi MD Alice Clavier MD Jean F. Honart MD Samy Ammari MD Zahira Merabet MD Christine Mateus MD Julia Arfi‐Rouche MD |
| Affiliation: | 1. Service de chirurgie générale oncologique, Institut Gustave Roussy, Université Paris – Sud XI, Villejuif, France;2. Service d'imagerie diagnostique, Institut Gustave Roussy, Université Paris – Sud XI, Villejuif, France;3. Service de pathologie morphologique et moléculaire, Institut Gustave Roussy, Université Paris – Sud XI, Villejuif, France;4. Service d'onco‐dermatologie, Institut Gustave Roussy, Université Paris – Sud XI, Villejuif, France |
| Abstract: | Carcinomatous lymphangitis accounts for 5% of all skin metastases, but blue lymphangitis of the breast has never been described. We report a case of blue lymphangitis of the breast in a patient 11 years after treatment for ipsilateral breast cancer that was in full remission. Breast examination and imaging showed no other abnormalities. Skin biopsy revealed a carcinomatous‐pigmented infiltration corresponding to melanoma metastasis, which helped highlight a primitive right flank injury. This case report emphasizes that a full body exam should always be performed with unusual presentation of breast cancer and reiterates the indispensable place of histology before any diagnosis. |
| Keywords: | breast cancer breast metastasis cutaneous lymphangitis carcinomatosa melanoma skin metastasis |