Cancer en cuirasse C80.x3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 30.08.2024

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Synonym(s)

Carapace Cancer; Carcinoma en cuirasse

Definition
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Form of skin metastasis with plate-like, often dark red induration of the skin by intracutaneous (tissue clefts) and lymphogenic dissemination of tumor cells with consecutive fibrosis and edema formation. Especially in the case of breast carcinoma, partial walling of the entire thorax = maximum variant of an erysipelas carcinomatosum.

Differential diagnosis
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Therapy
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The aim of treatment is to maintain the best possible quality of life despite an unfavorable prognosis. Radiotherapy or cytostasis possible. Treatment regimen depends on the spread of the metastases and the primary tumor.

The combination of radiotherapy and local hyperthermia in cases of resistance to therapy shows better results. There are indications that the additional use of immune checkpoint inhibitors could be beneficial.

Progression/forecast
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Serious

Literature
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  1. Sindermann H et al. (1995) Miltefosine Solution: Prognostic factors for the outcome of topical treatment of skin metastatic breast cancer. Oncology 17: 21-26
  2. Oldenborg S et al (2018) Reirradiation+ hyperthermia for recurrent breast cancer en cuirasse. Radiation Oncol;194: 206-214
  3. Sengedorj A et al. (2022) The Effect of Hyperthermia and Radiotherapy Sequence on Cancer Cell Death and the Immune Phenotype of Breast Cancer Cells. Cancers (Basel). 19;14:2050.

Disclaimer

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Last updated on: 30.08.2024