Complete Involution of the Breast as Initial Presentation of Carcinoma

A 54 year-old woman with no previous medical history was admitted with complaint of an almost complete retraction of the left breast with lymphoedema of the ipsilateral arm. The disease was evolving for 10 years. Physical examination revealed a complete involution of the left breast with 3 underskin nodules in its upper external quadrant over hanging a 30 mm × 10 mm lump.