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Trichoscopy of Scalp Metastases. 2019
Giulia Maria Ravaioli, and
Michela Starace, and
Aurora Maria Alessandrini, and
Federica Guicciardi, and
Farah Moustafa, and
Nicolò Brandi, and
Bianca Maria Piraccini
Department of Experimental, Diagnostic and Specialty Medicine, Division of Dermatology, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
A 69-year-old woman with invasive ductal breast cancer (BC) presented multiple asymptomatic alopecic areas of the scalp. Trichoscopy revealed peripheral black dots (BDs) and an atypical vascular pattern. Histopathology confirmed the diagnosis of BC metastases. Cutaneous and scalp metastases are a possible sign of advanced and widespread BC, and the diagnosis may be challenging. The trichoscopy of scalp metastases has never been described. BDs and an atypical vascular pattern in our case were a diagnostic clue.
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