Ann Dermatol.  2010 May;22(2):238-240. 10.5021/ad.2010.22.2.238.

Breast Cancer Cutaneous Metastasis at Core Needle Biopsy Site

• Cho E
• Kim MH
• Cha SH
• Cho SH
• Oh SJ
• Lee JD

• KMID: 2265406
• DOI: http://doi.org/10.5021/ad.2010.22.2.238

Abstract

Cutaneous metastasis from breast cancer can occur by direct invasion, lymphatic and vascular spread as well as iatrogenic implantation. Metastasis that occurs by iatrogenic implantation after needle biopsy is very rare but the potential risk must be considered. In this report, we describe a case of breast cancer cutaneous metastasis that occurred by iatrogenic implantation following core needle biopsy. A 53-year-old woman presented with a 1x1 cm sized erythematous nodule at the biopsy site after breast conserving surgery for primary cancer. Histopathological findings confirmed cutaneous metastasis. The possibility of this consequence must be considered when performing needle biopsies.

Keyword

Breast cancer; Core needle biopsy; Cutaneous metastasis

MeSH Terms

Biopsy
Biopsy, Large-Core Needle
Biopsy, Needle
Breast
Breast Neoplasms
Female
Humans
Mastectomy, Segmental
Middle Aged
Neoplasm Metastasis

Figure

• 

  Fig. 1 A 1×1 cm sized, firm, crusted, erythematous nodule at the site of the previous core needle biopsy is shown. The operation scar of previous breast conserving surgery is also illustrated.

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  Fig. 2 (A) Separation of the dermoepidermal junction and infiltration of tumor cells (H&E, ×25). (B) Tumor cells forming nests (H&E, ×100).

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