Dermatomyositis Revealing Breast and Ovarian Malignancies: Report of a Case

Case Report

Austin J Clin Case Rep. 2018; 5(1): 1125.

Dermatomyositis Revealing Breast and Ovarian Malignancies: Report of a Case

Eman Almohawes*

Department of Diagnostic Radiology, Security Forces Hospital King Fahd Suburb, KSA

*Corresponding author: Almohawes E, Consultant and Head of Department of Diagnostic Radiology, Security forces Hospital King Fahd Suburb, 5171, Dammam, KSA

Received: December 06, 2017; Accepted: January 05, 2018; Published: January 31, 2018


Dermatomyositis (DM) is a rare connective tissue disease with inflammatory process involving skin, skeletal muscles and other connective tissues with associated malignancies in female like breast and gynecological malignant tumors. We report a case of Dermatomyositis revealing breast and ovarian malignancies.

Keywords: Dermatomyositis; Breast; Ovaries; Malignancies


DM: Dermatomyositis; MLO: Mediolateral Oblique; CC: Cranio- Caudal; CT: Computed Tomography; US: Ultrasonography


Dermatomyositis is rare type of the idiopathic inflammatory myopathies which clinically presents with progressive symmetrical proximal muscle weakness and a characteristic rash. However, this disease primarily involves the skin and the muscles, it is considered as systemic disease with manifestations involving other body systems. Dermatomyositis is linked to internal malignancy with incidence between15% and 25% [1]. It is rare condition in the literature, we report an additional case of dermatomyositis associated with breast and ovarian malignancies.

Patient and observation

A 51-year-old female patient, known case of Dermatomyositis. The story started when the patient realizes that there is abnormal lump and hardness in her right breast at the site of nipple and areola with abnormal inversion of the nipple, she sought medical advice and upon examination: the physician discovered hard immobile retroareolar mass in the right breast and this mass was suspicious for him and causing nipple retraction so he requested mammography for the patient for further evaluation of this mass. Mammogram done and revealed retracted nipple with retroareolar coarse heterogeneous calcification and underlying ill-defined mass with speculation (Figure 1), after that complementary US done with elastography and revealed: irregular hypoechoic nodule at retroareolar region with hyperechoic rim indicating desmoplastic reaction, appear hard on elastography. Right axillary lymphnodes show focal cortical bulge with increased vascularity (Figure 2). After that core biopsy done from the breast mass (Figure 3) and from the right axillary lymphnode and the histopathology came as Invasive Ductal Carcinoma, after that CT scan of the chest, abdomen and pelvis requested for staging which revealed right ovarian neoplastic mass as well as redemonstration of right breast mass with calcification (Figure 4).