Meme Kanserli Bir Olguda Zosteriform Deri Metastazı

Meme kanseri kadınlar arasında en sık görülen kanserdir ve akciğer kanserinden sonra, kansere bağlı ölümlerin en sık sebebidir. Meme kanserinin deri metastazı genellikle direkt invazyon ve lokal yayılma şeklinde gelişir ve sıklıkla göğüs ön duvarında solid ve ağrısız nodüller şeklinde ortaya çıkar. İnternal malignitelerin deri metastazları nadiren yumuşak nodüller, telenjiektazi benzeri lezyonlar, neoplastik alopesi, karsinoma erizipeloides, eritema anüler benzeri, herpetiform veya zosteriform, target benzeri, piyodermatik ve morfea benzeri lezyonlar ile prezente olabilmektedir. Bu makalede zosteriform dizilimli, deriden kabarık, eritematöz papül ve plaklarla polikliniğimize başvuran, lezyonlarında yanma tarifleyen, bilateral mastektomi, kemoterapi ve radyoterapi öyküsü olan 49 yaşında bir kadın hasta, deri metastazların nadir görülen zosteriform dağılımına dikkat çekmek ve herpes zoster enfeksiyonlarının ayırıcı tanısında deri metastazlarını hatırlatmak amacıyla sunulmaktadır.

A Rare Case of Zosteriform Cutaneous Metastasis from Breast Cancer

Breast cancer is the most common cancer among women and the second leading cause of cancer deaths, after lung cancer. Cutaneous breast cancer metastases often develop as direct involvement and local spread and often manifest as solid painless nodules in the anterior chest wall. Internal malignant skin metastases rarely present like soft nodules, telangiectasia-like lesions, neoplastic alopecia, erysipeloides carcinoma, erythema annulare-like, herpetiformis or zosteriform, target- like, pyodermic and morphea-like lesions. In this article, we present a 49-year-old female patient describing a sensation of burning pain with erythematous papules and plaques in a zosteriform distribution. The diagnosis of zosteriform cutaneous metastases from a breast cancer was made. Majority of these cases may be misdiagnosed as herpes zoster infection and can be treated with antiviral drugs. Therefore, cutaneous metastases should be kept in mind in the differential diagnosis of lesions in zosteriform distribution.

Kaynakça

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