Clinical manifestations of metastases integument is very variable, its diagnostics is complicated and the put diagnosis is often late. <...> Our article talks about the patient with breast carcinoma, in which the cutaneous metastases appeared on the anterior side of chest and the right hand fi rstly and later they were expresed as erythema and oedema caused by the development of secondary erysipelas on the surgical wound site. <...> Her past history revealed a radical mastectomy for an infi ltrating stage- II B 22 , Николов В.В.2 Оригинальные исследования ductal carcinoma of the right breast dated two years ago (Figure 1). <...> Physical examination revealed a well-defi ned pitted oedema on the anterior side of the chest and upper right arm. <...> The left breast was infi ltrated stationary with retraction of the nipple (Figure 3). <...> A skin biopsy from the eff ected area showed high-grade infi ltration of breast carcinoma. <...> Tumor nests in the lymphatic nodes with outgrowth into the surrounding dermis were observed. <...> The patient was directed to her monitoring oncologist for palliative care of the metastatic skin lesions. <...> DISCUSSION The liver, lung, and brain are the most common sites of metastatic diseases from breast carcinoma. <...> Skin metastasis occurs when cancerous cells break away from the primary tumor and get to the skin through the blood or lymphatic circulation system. <...> The patient with carcinoma of the breast «Клиническая инфектология и паразитология» № 4 (07), 2013 23 Erysipelas cum Carcinoma erysipelatoides Figure 2. <...> The incidence of cutaneous metastasis due to breast carcinoma reaches 10%. <...> Usually the skin lesions are located in chest and abdomen, and less common – to the scalp, neck, upper extremities and back. <...> The development of a fi rm, round or oval, mobile, non-painful nodule is one of the most often fi rst signs of skin metastasis. <...> Special patterns of cutaneous metastatic lesions from breast cancer are described. <...> Carcinoma erysipelatoides (CE) is presented by acute demarcated red patch due to local spread of primary cancer blocking lymphatic and blood vessels in adjacent skin. <...> CE onset depends on the stage of the primary tumor and tumor potential to invade the dermal lymphatic nodes. <...> As in the presentation <...>