Primary Carcinoma en Cuirasse

Carcinoma En Cuirasse Presenting as Keloids of the Chest

“…There are seven commonly described types of metastatic breast involvement, which include nodular metastatic carcinoma, telangiectatic metastatic carcinoma, breast carcinoma of the inframammary crease, alopecia neoplastica, inflammatory metastatic carcinoma (carcinoma erysipeloids), Paget's disease, and carcinoma en cuirasse 1,5 . Carcinoma en cuirasse was described by Velpeau in 1838 as a stiff, leathery, shield‐like plaque, and Handley in 1922 noted that this type of carcinoma appeared similar to the skin involved in chronic lymphatic obstruction such as in elephantiasis; thus, he named it pachydermia 2,3 . Classically, carcinoma en cuirasse begins as firm erythematous papules or nodules, which eventually coalesce into morphea‐like indurated plaques, without associated inflammation 1,5 …”

“…Rarely, this form of carcinoma has been associated with other adenocarcinomas such as those arising in lung, gastrointestinal tract, and kidney 1 . Carcinoma en cuirasse is most commonly seen as a recurrence of breast cancer, but there are rare reports of primary presentation of breast carcinoma 2,3 . We describe a 63‐year‐old woman with primary cutaneous breast carcinoma presenting with the appearance of keloid nodules on her sternal chest.…”

Carcinoma en cuirasse with Zosteriform Metastasis-A Rare Presentation of Breast Carcinoma

“…En cuirasse metastatic carcinoma is characterized by diffuse morphea-like induration of skin [4]. It is a fibrotic process resembling a encasement in an armour of a cuirassier (cavalry soldier) [5].…”

Untitled

“…It is a fibrotic process resembling the encasement in an armor of a curassiere (cavalry soldier) [7,8], leading to a progressive retraction with disappearance of the mammary gland, then the ulceration plated on the costal grill. It evolves from firm papules and nodules overlying an erythematous base to a sclerodermoid plaque [9].…”