Breast carcinoma en Cuirasse - Case report
About a year ago a 78-year-old black woman, housewife, born and resident in São Vicente,\nSP, presented with papulonodular lesions, scaly and confluent in the right breast,\nprogressing to edema and skin infiltration, with marked reduction in breast volume, like\na cuirasse (). Four\nmonths ago she showed signs of contralateral breast and abdomen involvement, with\nenlarged, hardened and palpable lumps in the left breast. There was also gradual weight\nloss of 10 kg in the previous year, anterior cervical and axillary lymphoadenopathy,\nassociated with lymphedema of the right arm. She denied any dermatological diseases and\nher personal history was unremarkable ().\nHistological examination showed epidermis infiltration with pagetoid neoplastic cells,\nsome of them with clear cytoplasm and tumor emboli in lymphatic vessels (, and\n). The diagnosis was invasive ductal breast\ncarcinoma with Paget-like foci, cutaneous metastases and lymphatic embolization.