Carcinoma en-cuirasse a rare cutaneous presentation of breast malignancy

A 65-year-old female complained of a lump in the right breast for 6 months, gradually increasing from the size of pea to the size of a lemon. The lesion was involving and causing retraction of the nipple areola complex, with ulceration and hemorrhagic discharge. On contrast computed tomography (CT) of the thorax, there was an ill-defined heterogeneously enhancing mass lesion with central hypodense area and speculated margins in the retro-areolar region, measuring approximately 7 x 3.2 x 1.9 cm. The lesion was causing architectural distortion of nipple areolar complex with cutaneous and subcutaneous extensive thickening and fat stranding. Computed tomography of the abdomen also revealed multiple liver metastasis. Biopsy from right breast lump revealed invasive ductal carcinoma. Patient was advised palliative chemotherapy.