Zosteriform Metastatic Adenocarcinoma of Breast Cancer: A Case Report

Authors

  • Isara Yenyuwadee Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
  • Pattriya Chanyachailert Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
  • Chanisada Wongpraparut Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
  • Sukhum Jiamton Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Keywords:

Breast cancer, Cutaneous metastasis, Metastatic adenocarcinoma, Resistant herpes zoster, Zosteriform

Abstract

Zosteriform cutaneous metastasis is a rare form of cutaneous metastasis. It accounts for only 3.6% of all cutaneous metastases and is predominantly associated with breast cancer, malignant melanoma, and lung cancer. The clinical presentation of zosteriform cutaneous metastases is characterized by a dermatomal distribution and includes morphologies such as papules, vesicles, or bullae, which resemble herpes zoster. Consequently, zosteriform cutaneous metastases are often subject to delayed diagnosis and treatment.  We report a case of a 55-year-old woman with underlying breast cancer and bony metastases, who had been receiving capecitabine for 1 year. She presented with multiple vesicles on her right chest that did not improve with oral valacyclovir treatment over 2 weeks.

References

Guanziroli E, Coggi A, Venegoni L, Fanoni D, Ercoli G, Boggio F, et al. Cutaneous metastases of internal malignancies: an experience from a single institution. Eur J Dermatol 2017;27:609-14.

Gan EY, Chio MT, Tan WP. A retrospective review of cutaneous metastases at the National Skin Centre Singapore. Australas J Dermatol 2015;56:1-6.

Teyateeti P, Ungtrakul T. Retrospective review of cutaneous metastasis among 11,418 patients with solid malignancy: A tertiary cancer center experience. Medicine (Baltimore) 2021;100:e26737.

De Giorgi V, Grazzini M, Alfaioli B, Savarese I, Corciova SA, Guerriero G, et al. Cutaneous manifestations of breast carcinoma. Dermatol Ther 2010;23:581-9.

Hu SC, Chen GS, Wu CS, Chai CY, Chen WT, Lan CC. Rates of cutaneous metastases from different internal malignancies: experience from a Taiwanese medical center. J Am Acad Dermatol 2009;60:379-87.

Savoia P, Fava P, Deboli T, Quaglino P, Bernengo MG. Zosteriform cutaneous metastases: a literature meta-analysis and a clinical report of three melanoma cases. Dermatol Surg 2009;35:1355-63.

Williams LR, Levine LJ, Kauh YC. Cutaneous malignancies mimicking herpes zoster. Int J Dermatol 1991;30:432-4.

Kim ST, Park KH, Oh SC, Seo JH, Shin SW, Kim JS, et al. Varicella zoster virus infection during chemotherapy in solid cancer patients. Oncology 2012;82:126-30.

Dunst J, Steil B, Furch S, Fach A, Bormann G, Marsch W. Herpes zoster in breast cancer patients after radiotherapy. Strahlenther Onkol 2000;176:513-6

Wilson DA, Yen-Lieberman B, Schindler S, Asamoto K, Schold JD, Procop GW. Should varicella-zoster virus culture be eliminated? A comparison of direct immunofluorescence antigen detection, culture, and PCR, with a historical review. J Clin Microbiol 2012;50:4120-2.

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Published

2023-09-04

How to Cite

Yenyuwadee, I., Chanyachailert, P. ., Wongpraparut, C. ., & Jiamton, S. (2023). Zosteriform Metastatic Adenocarcinoma of Breast Cancer: A Case Report. Thai Journal of Dermatology, 39(3), 55–59. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/260789

Issue

Vol. 39 No. 3 (2023): July - September 2023

Section

Case Report

License

Copyright (c) 2023 Thai Journal of Dermatology

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสารโรคผิวหนัง ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใดๆ

บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารโรคผิวหนัง ถือเป็นลิขสิทธิ์ของวารสารฯ หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใดๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากบรรณาธิการวารสารโรคผิวหนังก่อนเท่านั้น