RESUMO
SUMMARY Erysipelatoid Carcinoma (EC), also known as Inflammatory Metastatic Carcinoma, is a rare form of cutaneous metastasis, secondary to an internal malignancy, more often related to breast cancer. Clinically, the lesion has a well-marked, bound erythematous appearance, much like an infectious process, such as erysipelas and cellulitis, these being the most common differential diagnoses. It is characterized by an acute or subacute appearance with an erythematous plaque, sometimes hot and painful, being more often situated in the primary tumor vicinity, especially in the thorax wall in the region of a mastectomy due to breast cancer. Here we present the case of a 75-year-old patient with ductal infiltrated carcinoma for 3 years, who presented an acute erythematous and infiltrated plaque in the region of a previous mastectomy, with a final diagnosis of EC.
Assuntos
Humanos , Feminino , Idoso , Neoplasias Cutâneas/secundário , Carcinoma Ductal de Mama/secundário , Erisipeloide/patologia , Neoplasias Inflamatórias Mamárias/patologia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/patologia , Tórax , Mama , Neoplasias da Mama/cirurgia , Neoplasias da Mama/patologia , Carcinoma Ductal de Mama/patologia , Diagnóstico Diferencial , Erisipeloide/diagnóstico , Eritema/patologiaRESUMO
A 51-year-old Korean woman presented with a non-tender, well-demarcated, reddish, edematous patch on the right anterior chest where a previous mastectomy and radiation therapy had been performed. She had been diagnosed as having infiltrating ductal carcinoma of the right breast about 1 year ago. Histopathological findings of the skin lesions were consistent with inflammatory metastatic carcinoma of the breast. Inflammatory carcinoma or carcinoma erysipeloides is a well-established entity most frequently associated with carcinoma of the breast. It is characterized by dermal lymphatic invasion by malignancy and clinically should be distinguished from erysipelas or cellulitis. We describe a case of inflammatory metastatic carcinoma derived from an infiltrating ductal carcinoma of the breast which can be clinically confused with radiation dermatitis.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Mama , Carcinoma Ductal , Celulite (Flegmão) , Dermatite , Erisipela , Erisipeloide , Mastectomia , Pele , TóraxRESUMO
La picadura por L.L. puede producir diversos cuadros clínicos que varían desde una pequeña ulceración banal hasta el cuadro de L.C.H. Presentamos el aso de un paciente que con un cuadro cutáneo tipo erisipela desarrolla un L.C.H. con fallo renal agudo y signos de hemólisis; Se hace referencia a las características de este tipo de picadura, su importância en nuestro medio. Se señalan pautas de diagnóstico y tratamiento
Assuntos
Pessoa de Meia-Idade , Humanos , Erisipeloide/etiologia , Picada de Aranha/complicações , Picada de Aranha/patologiaRESUMO
Erysipelothrix rhusiopathiae endocarditis in man is a very rare disease. The bacteria can be easily misiden- tified as nonpathogenic gram-positive bacilli or streptococci. This organism was isolated from blood samples taken from a 39-year-old male farmer with subacute bacterial endocarditis. The patient had cirrhosis of the liver; diabetes, and tuberculosis. The isolate showed typical cultural and biochemical characteristics such as facultative growth, formation of small greenish colonies on blood agar, positive hydrogen sulfide, negative catalase, and nonmotility. The isolate was susceptible to penicillin G and the cephalosporins.