ABSTRACT
The most frequently seen metastases sites breast carcinoma are lungs, bone, liver and brain. Although skin involvement by metastatic breast carcinoma is rare, in women breast carcinoma is the most common source of cutaneous metastases. Skin involvement by metastatic breast disease is rare and only less than 3.5 % of primary breast carcinomas are preceded by diagnoses of cutaneous metastases. Cutaneous metastases occur in up to 9 % of visceral malignancies, but are rarely the fi rst manifestation. This occurs more common in men then in women especially at cancer of lung, kidney and ovary . 58 year-old female patient with hemorrhagic lesions in her scalp is presented. She did not have a diagnosed breast carcinoma. Pathological examination of the specimen resulted as metastatic breast carcinoma presenting as cutaneous metastases.