Postsurgical Pyoderma Gangrenosum in a Breast Cancer Patient: A Case Report and Literature Review.

Breast cancer Pathergy Pyoderma gangrenosum Solid tumors

Journal

Case reports in oncology
ISSN: 1662-6575
Titre abrégé: Case Rep Oncol
Pays: Switzerland
ID NLM: 101517601

Informations de publication

Date de publication:
Historique:
received: 26 06 2020
accepted: 27 06 2020
entrez: 29 3 2021
pubmed: 30 3 2021
medline: 30 3 2021
Statut: epublish

Résumé

Pyoderma gangrenosum is a rare skin necrotizing disease that can arise on a site of surgical trauma. Its pathogenesis has recently been related to dysregulation of the immune system, with inflammatory bowel disease representing the most commonly underlying systemic conditions. Several authors have also reported an association with solid malignancies (especially gastrointestinal and breast cancer). We describe the case of a 39-year-old patient diagnosed with a locally advanced, triple-negative breast cancer who developed a pyoderma gangrenosum on the surgical wound after a CVC implant with systemic complications. As the diagnosis and management of postsurgical pyoderma gangrenosum can be challenging for clinicians, underlying conditions as autoimmune disease and solid tumors have to be considered in order to guide treatment.

Identifiants

pubmed: 33776698
doi: 10.1159/000509745
pii: cro-0014-0160
pmc: PMC7983549
doi:

Types de publication

Case Reports

Langues

eng

Pagination

160-164

Informations de copyright

Copyright © 2021 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

The authors declare that they have no conflict of interest.

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Auteurs

Grazia Maria Vernaci (GM)

Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Division of Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Muzio Meroni (M)

Anaesthesiology Unit, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Maria Vittoria Dieci (MV)

Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Division of Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Tania Saibene (T)

Breast Surgery Unit, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Maria Cristina Montesco (MC)

Anatomy and Histology Unit, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Enrico Orvieto (E)

Department of Pathology, Azienda Ospedaliera di Rovigo, Rovigo, Italy.

Annamaria Cattelan (A)

Unit of Infectious Disease, Department of Internal Medicine, Azienda Ospedaliera Universitaria di Padova, Padua, Italy.

Cristina Ghiotto (C)

Division of Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Federica Miglietta (F)

Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Division of Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Valentina Guarneri (V)

Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Division of Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Matteo Cagol (M)

Breast Surgery Unit, Istituto Oncologico Veneto IRCCS, Padua, Italy.

Classifications MeSH