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Dermatopathic Lymphadenitis Mimicking Breast Cancer with Lymphatic Metastasis: A Case Report and Discussion

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare co-existance of disease or pathology

Yamama Alkourbah, Alireza Torabi, Tony Ghaith, Zeina Nahleh

(Department of Internal Medicine, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX, USA)

Am J Case Rep 2017; 18:1330-1333

DOI: 10.12659/AJCR.905220

Published: 2017-12-14


BACKGROUND: Dermatopathic lymphadenitis is a rare benign lymphatic hyperplasia commonly associated with exfoliative or eczematoid dermatitis. Of interest, this condition can be confused with lymphatic metastasis in adults.
CASE REPORT: In this report, we describe the case of a 56-year-old woman diagnosed with left breast invasive ductal carcinoma in remission, who presented with dermatopathic lymphadenitis mimicking breast cancer recurrence.
CONCLUSIONS: Dermatopathic lymphadenitis is a benign entity that needs to be considered in the differential diagnosis of lymphadenopathy. Pursuing extensive workup in asymptomatic patients with a similar presentation and initial negative tests for malignancy recurrence is not recommended.

Keywords: Breast Neoplasms, Lymphadenitis, Recurrence, Triple Negative Breast Neoplasms



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