Case 23: Right Arm Papules

  • Dong-Lin XieEmail author
  • Emelia Farnsworth
  • Robert A. Norman
Part of the Clinical Cases in Dermatology book series (CLIDADE)


A 65 year old female with history of multicentric invasive ductal breast carcinoma with lobular features and asthma presented with a chief complaint of lesions on the right arm. The lesions were visualized during examination, and patient noted no symptoms such as pruritus or bleeding associated with them.


Breast carcinoma Indian-file pattern Progesterone receptor Estrogen receptor Metastatic cancer Cutaneous metastasis 

Suggested Reading

  1. Lambert SR, Mladkova N, Gulati A, Hamoudi R, Purdie K, Cerio R, Leigh I, Proby C, Harwood CA. Key differences identified between actinic keratosis and cutaneous squamous cell carcinoma by transcriptome profiling. Br J Cancer. 2014;110(2):520–9. Scholar
  2. Martin H, Mariano-Bourin M, Antunes L, Bonhomme A, Cuny JF, Dubois L, Truchetet F, Schoffler A. Cutaneous metastases on the extremities. Ann Dermatol Venereol. 2019;146(2):115–20. Scholar
  3. Potenza C, Bernardini N, Balduzzi V, Losco L, Mambrin A, Marchesiello A, Tolino E, Zuber S, Skroza N, Proietti I. A review of the literature of surgical and nonsurgical treatments of invasive squamous cells carcinoma. Biomed Res Int. 2018;2018:1–9. Scholar
  4. Sehrawat A, Kotwal S, Parthasarathy K. Metastatic dermatosis in breast carcinoma on adjuvant trastuzumab: is skin a sanctuary site in human epidermal growth factor receptor-2-amplified disease? Indian J Dermatol. 2018;63(5):424. Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dong-Lin Xie
    • 1
    Email author
  • Emelia Farnsworth
    • 2
  • Robert A. Norman
    • 3
    • 4
  1. 1.Ruffolo, Hooper & Associates, M.D, P.A.TampaUSA
  2. 2.MS1Nova Southeastern UniversityTampaUSA
  3. 3.Department of DermatologyNova Southeastern UniversityTampaUSA
  4. 4.Center for Geriatric Dermatology and Neuro-DermatologyTampaUSA

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