medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 10

<< Back Next >>

Ginecol Obstet Mex 2022; 90 (10)

Skin diseases of the breast: A retrospective study of 171 patients at “Dr. Manuel Gea González” General Hospital

Vargas-Chandomid E, Alvarez-Rivero V, Palacios-Narvaez DC, Toussaint-Caire S, Vega-Memije ME

Language: Spanish
References: 15
Page: 826-832
PDF size: 286.70 Kb.


ABSTRACT

Objective: Describe dermatoses of the mammary region that warranted histopathological diagnosis in dermatologic consults.
Materials and Methods: The Hospital “Dr. Manuel Gea Gonzalez” Dermatopathology Department record database was reviewed in the 1992 to 2021 period, using the search engine terms “breast,” “mammary,” “nipple,” and “areola.” Lesions were classified as benign, malignant, infectious and noninfectious inflammatory tumors.
Results: 171 histopathological reports were reviewed. There was a female predominance in histopathological studies (153/171). The most frequent clinical diagnosis for referral in female patients was breast cancer with cutaneous infiltration; supernumerary nipple was the most frequent clinical diagnosis for male patients. The most frequent dermatoses belonged to the benign tumor category (78/171), followed by noninfectious inflammatory dermatoses (48/171). Malignant neoplasms were in third place (39/171), and 3.5% of dermatoses were infectious inflammatory dermatoses.
Conclusions: Cutaneous mammary disease has diverse clinical presentations that might occasionally warrant histopathological studies, mainly for the early diagnosis of malignant neoplasms.


REFERENCES

  1. Pascua-López M, Martín-Santiago A. Diagnóstico diferencialde las lesiones hiperqueratósicas del pezón y la areola.Piel 2005; 20 (9): 457-62. https://doi.org/10.1016/S0213-9251(05)72325-X

  2. Cordoliani F, Rybojad M, Verola O, Espié M. Dermatosisdel pezón y la areola. Arch Anat Cytol Pathol 1995; 43(1-2): 82-87.

  3. Peter MS, Lehman JS, Comfere NI. Dermatopathology ofthe Female Breast. Am J Dermatopathol. 2013; 35 (3): 289-304. doi:10.1097/DAD.0b013e318267caa3

  4. Hunt R, Chang MW, Shah KN. Chapter 103. Neonatal dermatology.IN: Fitzpatrick’s Dermatology. 9th ed. New York:McGraw-Hill Education, 2019.

  5. Deng Y, Xiong Y, Ning P, Wang X, et al. A case managementmodel for patients with granulomatous mastitis: a prospectivestudy. BMC Womens Health 2022; 22 (1): 143. https://doi.org/10.1186/s12905-022-01726-w

  6. Wagner G, Back W, Sachse MM. Clear cell acanthoma. JDtsch Dermatol Ges. 2021; 19 (1): 31-36. doi: 10.1111/ddg.14270

  7. Kang-Ling K, Chi-Shou Lo, Li-yu L, Chih-Hsun Y. Clear cellacanthoma (CCA)-like lesions of the nipple/areola: Aclinicopathological study of 12 cases supporting a nonneoplastic eczematous disease. J Am Acad Dermatol 2019;

  8. 80 (3): 749-55. https://doi.org/10.1016/j.jaad.2016.07.0328. Alonso de León, María Teresa, sustentante. Metástasiscutáneas diagnosticadas en el departamento de dermatopatologíadel Hospital General Dr. Manuel GeaGonzález desde 1985 al 2020. https://tesiunam.dgb.unam.mx/F/VQN5JH2R3PC7C45G911GLM528HST6R-4JYQB4TJ5T1SSJG62DYN-26815?func=full-set-set&set_number=696405&set_entry=000001&format=040

  9. He M, Liu H, Jiang Y. A case report of male occult breastcancer first manifesting as axillary lymph node metastasiswith part of metastatic mucinous carcinoma. Medicine2015; 94 (25): e1038. doi:10.1097/MD.0000000000001038

  10. Lee HJ, Shin DH, Choi JS, Kim KH. Metastatic adenocarcinomafrom the lung diagnosed by presenting signof hemangioma-like cutaneous lesion. Arch Dermatol2012; 148 (11): 1329-31. doi:10.1001/archdermatol.2012.1963

  11. Waldman RA, Finch J, Grant-Kels JM, Whitaker-WorthD. Skin diseases of the breast and nipple part 2: inflammatoryand infectious diseases. J Am Acad Dermatol2019; 80 (6): 1483-94. https://doi.org/10.1016/j.jaad.2018.08.067

  12. Waldman RA, Finch J, Grant-Kels JM, Whitaker-Worth D.Skin diseases of the breast and nipple part 1: benign andmalignant tumors. J Am Acad Dermatol 2019; 80 (6): 1467-81. https://doi.org/10.1016/j.jaad.2018.08.066

  13. Gandhoke CS, Syal SK, Singh H, Singh D, et al. Dorsalaccessory ectopic breast with polythelia- A marker ofoccult spinal dysraphism. Surg Neurol Int 2018; 9: 143.doi: 10.4103/sni.sni_34_18

  14. Urbani C. Polymastia or type 1 accessory mammary tissue. JEur Acad Dermatol Venereol 2007; 21 (8): 1134-35. https://doi.org/10.1111/j.1468-3083.2006.02121.x

  15. Abudhaise H, Dani M, Devalia H. Unilateral nipple rash ina man. BMJ 2021; 373: n750. https://doi.org/10.1136/bmj.n750




2020     |     www.medigraphic.com