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Japanese Journal of Clinical Oncology 2005 35(4):202-206; doi:10.1093/jjco/hyi068
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© 2005 Foundation for Promotion of Cancer Research

Different Manifestations of Malignant Melanoma in the Breast: a Report of 12 Cases and a Review of the Literature

Sidika Kurul1, Faruk Tas2, Nesimi Büyükbabani3, Ayse Mudun4, Can Baykal5 and Hakan Çamlica6

1 Division of Surgical Oncology, 2 Division of Medical Oncology, Institute of Oncology, 3 Division of Cutaneous Pathology, Department of Pathology, Istanbul Medical School, 4 Department of Nuclear Medicine, Istanbul Medical School, 5 Department of Dermatology, Istanbul Medical School and 6 Division of Biostatistic and Cancer Epidemiology, Institute of Oncology, Istanbul University, Istanbul, Turkey

For reprints and all correspondence: Prof.Dr. Sidika Kurul, Plastic Surgeon, Istanbul University, Institute of Oncology, Dept of Surgical Oncology, Capa, 34390 Istanbul, Turkey. E-mail: skurul{at}istanbul.edu.tr

Received January 19, 2005; accepted March 7, 2005

Background: The breast is associated with a large number of diseases. Besides being the host of many benign and malignant tumors, breast skin and parenchyma are also metastatic sites for various tumors such as leukemia, lung cancer and melanoma.

Methods: Malign melanoma has different manifestations in the breast. All these manifestations are important not only as initial presentations of the disease, but also as indicators of the progression period of the disease.

Results: This study reports on 12 cases of cutaneous malignant melanoma in breast skin and tissue. Nine of these cases are primary cutaneous melanomas, while the others are breast metastases from a distant site cutaneous melanoma. In two of the nine primary cutaneous melanomas in-transit metastasis to the breast developed during the follow-up period.

Conclusions: In this paper, the diagnostic and surgical approach to primary and metastatic melanoma of the breast, and the importance of the breast during the follow-up period are reviewed.

Key Words: Cutaneous melanoma • breast • distant metastasis • in-transit metastasis


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