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April 1973

Carcinoma of Mammary Crease "Simulating Basal Cell Epithelioma"

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Arch Dermatol. 1973;107(4):628-629. doi:10.1001/archderm.1973.01620190092027

To the Editor.—  The diagnosis of carcinoma of the breast comes within the province of the surgeon, not the dermatologist. The following case report is an exception to this general rule.

Report of a Case  A 61-year-old white woman was admitted to the hospital on Jan 22, 1971, for severe peripheral vascular disease. Dermatologic consultation was requested for a skin lesion over the xiphoid area. According to the patient, the lesion had started many months ago in the form of a pimple and had gradually enlarged. It had been asymptomatic. On physical examination, there was a 2 x 3-cm, raised indurated, erythematous lesion with a nodular border. Few telangiomas could be seen. The lesion was located above the xiphoid process, extending beyond its right edge towards the right mammary crease. The lesion appeared to be fixed to the underlying soft tissue. Our initial clinical impression was basal cell epithelioma

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