Poorly differentiated cutaneous adenocarcinoma masquerading as scrofuloderma

• Main Authors: Balakrishnan Nirmal, Renu George, Mandeep Singh Bindra
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Indian Journal of Dermatopathology and Diagnostic Dermatology
• Subjects: Adenocarcinoma; cutaneous; scrofuloderma
• Online Access: http://www.ijdpdd.com/article.asp?issn=2349-6029;year=2018;volume=5;issue=1;spage=69;epage=70;aulast=Nirmal

We report the case of a 60-year-old male presented with axillary swelling of 18 months duration with ulceration and cervical lymphadenopathy of 3 months duration with a clinical diagnosis of scrofuloderma. Histopathology showed dermis infiltrated by sheets, nests, and clusters of polygonal cells with markedly pleomorphic mitotically active nuclei suggestive of a more sinister condition, poorly differentiated cutaneous adenocarcinoma either primary or metastasis from breast. The condition is reported for its rarity from male breast and the need to consider it as a differential diagnosis in similar clinical presentation.