Cutaneous Manifestations in Breasts among Patients with Breast Tumors Attending Al-Yarmook Teaching Hospital

Breast cancer is the most common cancer in women both in the developed and less developed world. It is thetop cancer in women worldwide and is increasing particularly in developing countries where the majority ofcases are diagnosed in late stages.Study Duration: Eight months period, from the first of January to the end of August 2018. Source Population:Patients with skin manifestations in breast who attended study settings during the study period. SamplingMethod: A non-random sampling of the attendants at the selected consultation clinics.Three hundred and ten patients with cutaneous manifestations in their breasts were studied. All patientswere female with a mean age of 51.25 ±11.5, the lesions were more common among age group of 50 yearsand above, most of them were married and were nulliparous, those with 1st degree +ve family historyof cancer represent the highest percentage, Most of patients presented with inflammatory skin changesfollowed by infections. Out of 310 patients only 182 (58.7%) FNA were taken. Patients with +ve resultwere 86 cases (27.7 %) whereas 96 patients (31.0%) had –ve result. Surprisingly no one of 62 patients withitching had an ultrasound or mammographic indications to do FNA. Out of 86 +ve FNA result, only 24patients (27.9%) presented with cancer that precede the dermatological manifestations while 62 patients(72.1%) were presented with cutaneous manifestations as first sign of breast cancer. A significant associationwas seen between having cutaneous manifestations proceeding a positive FNA findings and inflammatorymanifestations (inflammation and eczema).Cutaneous manifestations can be the first clinical indicator of breast cancer. The development of suchmanifestations if not taken seriously may delay the diagnosis of breast cancer which lead to a poor prognosis.Lesions appearing within the breast may appear harmless to patients, however a dermatologist can be thefirst person to raise a suspicion of breast cancer or its recurrence.