Scalp metastases in breast cancer

Cover Page

Cite item


This paper describes a clinical case of scalp metastases in the setting of breast cancer. The data on the prevalence of the disease in Russia and the necessity of its early diagnostics is provided. The clinical picture and trichoscopic signs of neoplastic processes in the scalp are presented: alopecia foci of 1–3 cm in diameter; foci older than 6 months featuring erythematous and atrophic skin; nodes of the colour of healthy skin or with a yellowish tint sized 1 cm in diameter; trichoscopy — in the foci older than 6 months, the vascular structures are represented by point, thick and thin tree-like vessels. In connection with a poor prognosis for survival when skin metastases are detected, the onco-alertness of practitioners in relation to scalp metastases should be increased.

Conflict of interest: the authors state that there is no potential conflict of interest requiring disclosure in this article.

About the authors

A. N. Mareeva

State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation

Author for correspondence.
Anastasia N. Mareeva — Cand. Sci. (Med.), Dermatovenerologist, Consultative Diagnostic Centre Russian Federation

V. A. Smolyannikova

I. M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation

Vera A. Smolyannikova — Dr. Sci. (Med.), Prof., Pathologist Russian Federation


  1. Клинические рекомендации Ассоциации онкологов России, Российского общества клинической онкологии. Рак молочной железы. М., 2018. 7 с.
  2. Чиссов В. И., Старинский В. В., Петрова Г. В. Состояние онкологической помощи населению России в 2010 году. М.: ФГУ «МНИОИ им П.А. Герцена» Минздравсоцразвития России, 2011. 188 с.
  3. Каприн В. В., Старинский В.В., Петрова Г. В. Состояние онкологической помощи населению России в 2017 году. М.: МНИОИ им. П.А. Герцена — филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2018. 18 с.
  4. ten Bokkel Huinink W. Treatment of skin metastases of breast cancer. Cancer Chemother Pharmacol. 1999;44:31–33.
  5. Prabhu S., Pai S. B., Handattu S. et al. Cutaneous metastases from carcinoma breast: The common and the rare. Indian J Dermatol Venereol Leprol. 2009;75(5):499–502.
  6. Rolz-Cruz G., Kim C. C. Tumor invasion of the skin. Dermatol Clin. 2008;26:89–102.
  7. Santos-Juanes J., Lopez-Escobar M., Palicio N. V. et al. Zosteriform cutaneous metastasis from a breast carcinoma. Med Cutan Iber Lat Am. 2007;35:89–93.
  8. Kuwayama T., Sato T., Nakagawa T. et al. A case of scalp metastases from breast cancer successfully treated with letrozole. Gan To Kagaku Ryoho. 2011;38(12):2183–2185.
  9. Shelke V. N., Khandekar S. L., Lodha N. D. et al. Multiple remote cutaneous metastases from male breast carcinoma-cytodiagnosis of a case. J Cytol Histol. 2012;3:148.
  10. Clive S., Gardiner J., Leonard R. S. F. Miltefosine as a topical treatment for cutaneous metastases in breast carcinoma. Cancer Chemother Pharmacol. 1999;44:29–30.5.
  11. Gehl J., Matthiessen L. M., Humphreys A. Management of cutaneous metastases by electrochemotherapy. J Clin Oncol. 2010;28:15.
  12. Горанская Е. В., Каплан М. А., Капинус В. Н. и др. Фотодинамическая терапия в лечении метастатического рака молочной железы. Фотодинамическая терапия и фотодиагностика. 2014;2:15–17.

Copyright (c) 2019 Mareeva A.N., Smolyannikova V.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 60448 от 30.12.2014.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies