Metástase cutânea como manifestação inicial de adenocarcinoma mamário: relato de caso

Abstract

Introduction: In women, the most common câncer ir non melanoma skin câncer, followed by breast câncer. Cutaneous metastasis from solid tumors is considered na uncommon clinical manifestation. Objective: The present study aims to report a case of a 69 year old female patient with the appearance of erithematous nodular lesions in the abdomen. She underwent excisional biopsy of the lesion and was hospitalized for a better diagnostic investigation. Imaging tests showed changes in the breast ultrasound with nodulation in the left breast and a core biopsy of the nodule was performed. The diagnosis of metastatic breast adenocarcinoma was revealed through a histopathological and immunohistochemical study of the lesion at Hospital Naval Marcílio Dias (HNMD). Methodology: Data were collected from anamnesesis with the patient, review of electronic medical records, collection of laboratory and imaging tests, associated with a literature review. Discussion: Cutaneous metastasis as the initial presentation of breast adenocarcinoma is not so frequente and the diagnostic suspicion is extremely importante. Conclusion: Considering that the clinical presentation of cutaneous metastasis is varied, which represents a diagnostic challeng. Thus, this study aims to highlight the relevance of the dermatological examination for the clinical suspicion of this condition considering tha the early diagnosis reflect in the definition of the apropriate treatment, staging and prognosis of the patient.