Abstract
We report a 71-year-old Japanese man with breast cancer. The patient had first noticed a papule on the right areola in 1996. Because the papule had gradually enlarged, and begun to bleed and cause pain, the patient came to our clinic in September 2001. The tumor measured 59×55×15 mm and gave off an unpleasant odor. Skin biopsy revealed breast cancer (solid-tubular scirrhous carcinoma). A roentgenography of the chest showed multiple pulmonary metastases, and a CT scan revealed metastases in the right lymph nodes. Auchincloss' operation and lymphadenectomy were performed. Fifteen of 20 lymph nodes taken from the right axilla were positive for tumor cells. Because post-surgical hormonal therapy using anastrozole did not improve the pulmonary metastases, chemotherapy consisting of cyclophosphamide, fluorouracil and epirubicin hydrochloride was added in February 2002. Currently, at six months after the chemotherapy, the pulmonary metastases have not enlarged. [Skin Cancer (Japan) 2002; 17: 304-307]
