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BMJ. 2007 June 9; 334(7605): 1228.
PMCID: PMC1889966

Minerva

Richard Singleton, senior house officer and Sheelagh Little, consultant

A 91 year old woman who had had adenocarcinoma of the breast four years previously presented with a seven month history of redness and swelling around her right eye. She had no other skin problems, and follow-up of her breast had been uneventful. Examination identified a violaceous annular plaque around the eye, with a nodular edge. Biopsy showed atypical cells consistent with metastatic breast cancer. Metastases from breast cancer can present in a number of cutaneous forms that mimic other diseases. This lesion resembled granuloma annulare. Breast cancer is the commonest tumour to metastasise to eyelids.eyelids.

figure min0906.f1

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