From: Metastatic breast carcinoma mimicking a sebaceous gland neoplasm: a case report
Date | Diagnosis | Therapy | Staging |
---|---|---|---|
Five years prior to presentation | Poorly differentiated invasive solid ductal breast carcinoma of the left breast. G2-3, ER positive (60%); PR positive (70%); HER-2/neu negative | Ablatio mammae left. Axillary lymph node dissection left. Radiochemotherapy with paclitaxel. | No organ metastasis |
At presentation | Metastatic breast cancer of the scalp with the histologic appearance of a sebaceously differentiated primary cutaneous carcinoma of the scalp. ER and PR positive; HER-2/neu negative; EMA positive; pancytokeratine positive; adipophilin negative | Complete excision. | Pulmonary and lymph node metastases. |
Two month after presentation | Moderately differentiated invasive solid ductal breast carcinoma of her left mammary. G2, ER positive (30%); PR positive (> 90%); HER-2/neu negative | Ablatio mammae right with sentinel node biopsy right. Chemotherapy with paclitaxel and bevacizumab. |