Unusual Cutaneous Scalp Metastases of Breast Cancer

Clinical Image

Austin J Radiol. 2021; 8(10): 1166.

Unusual Cutaneous Scalp Metastases of Breast Cancer

Allioui S, Sninate S*, Jerguigue H, Latib R and Omor Y

Radiology Department, National Institute of Oncology, Mohammed V University in Rabat, Rabat, Morocco

*Corresponding author: Sninate S, Radiology Department, National Institute of Oncology, Mohammed V University in Rabat, Rabat, Morocco

Received: September 11, 2021; Accepted: October 06, 2021; Published: October 13, 2021

Clinical Image

A 64-year-old lady was referred to our department with an intermittently painful parietal left scalp mass that progressed 2 years prior. Several years prior, this patient underwent a mastectomy with chemotherapy and radiotherapy for its breast cancer, associated to axillary lymph node metastasis. Clinically, the scalp mass was hard, immobile, and measured 4cm. The breast examination was unremarkable with no definite evidence of regional or distant lymphadenopathy. Cerebral MRI was performed, demonstrating a left parietal mass, with intermediate signal on T2, comprising zones with restricted diffusion, and heterogeneous enhancing after Gadolinium. This mass caused an infiltration of adjacent bone and meningitis, with no associated abnormality of the cerebral parenchyma.

Figure 1: Axial images of cerebral MRI, showing a parietal left scalp mass (arrow), with intermediate signal on T2 (A), comprising zones with restricted diffusion (B), and heterogeneous enhancing after Gadolinium (C). This mass caused an infiltration of adjacent bone and meningitis (head of arrow), with no associated abnormality of the cerebral parenchyma.

    

    
    

    

    Figure 1: Axial images of cerebral MRI, showing a parietal left scalp mass (arrow), with intermediate signal on T2 (A), comprising zones with restricted diffusion
(B), and heterogeneous enhancing after Gadolinium (C). This mass caused an infiltration of adjacent bone and meningitis (head of arrow), with no associated
abnormality of the cerebral parenchyma.

Imaging modalities especially MRI is considered as the cornerstone in the diagnosis and the evaluation of this parietal mass extent.

Citation: Allioui S, Sninate S, Jerguigue H, Latib R and Omor Y. Unusual Cutaneous Scalp Metastases of Breast Cancer. Austin J Radiol. 2021; 8(10): 1166.