Breast metastases from facial malignant melanoma

Discussion:

A case of ubiquitous metastases from malignant facial melanoma to both breasts, lung, pleura, peritoneum, lymph nodes,soft tissues of the thoracic/abdominal- pelvic wall with pulmonary embolism).

Malignant melanoma is one of the most rapidly increasing cancer in the world. Metastases to the breast represent an uncommon site from malignant melanoma or other extra-mammary tumors and represent 1.3–2.7% of all malignant breast tumors(1).Lymphomas / leukemia, melanomas, rhabdomyosarcomas, lung, prostate, and ovarian tumors are the most commonly reported tumors metastasizing to the breast.(1,2,3,4). The most frequent source of a breast metastasis is a contralateral breast tumor (4,5)

The diagnosis of breast metastases from malignant melanoma, especially if bilateral lesions, requires a whole body evaluation because in most cases indicate a widespread disease(1). For this reason we should lead to avoid aggressive surgical procedures because of the poor prognosis(1)

 

Additional Contributors: R. Bouguelaa MD, C. Boukaaba MD

 

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