Can anyone direct me to site that has information on this? (Breastcancer.org, Breast Cancer Care, Breakthrough Breast Cancer and Susan G Komen do not have this information.) Alternatively, can anyone tell me anything about the appearance of skin mets, and whether it only occurs near the site of the original tumour or can appear on other parts of the body? The limited information I've found so far seems to suggest skin metastasis occurs near the primary tumour or on the upper body. Does it ever occur further away, say on the limbs?
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According to the Merck manual: Most skin metastases occur in the region of the breast surgery; scalp metastases also are common. (http://www.merck.com/mmpe/sec18/ch253/ch253e.html) An excerpted page from Cancer Chemotherapy and Pharmacology states: "the site of metastases was the scalp in 13.5% of their breast cancer patients, the face in 22.2%, the neck in 9%, the chest wall in 39%, the abdominal wall in 15% and other localisations in 30.5%" (http://www.springerlink.com/content/6rkr81md7dbyvp17/) A preview of the Manual of Clinical Oncology states: metastasis to the skin "typically involves the chest wall and scalp" (http://books.google.com/books?id=XrE3iO_1TxkC&pg=PA564&lpg=PA564&dq=breast+cancer+skin+metastasis&source=web&ots=OwETffxWK1&sig=xARa9IvIV3WBa1-fZX4wYpmoC3s&hl=en&sa=X&oi=book_result&resnum=5&ct=result) I believe the typical presentation of any metastasis is multiple lesions, more frequently than an isolated lesion. If I saw a lesion on my extremity, I'd be thinking MRSA before metastasis. Either way, you know the drill ... get it checked right away
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