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A Draining Arm Lesion in a Female Adult

A Draining Arm Lesion in a Female Adult Abstract REPORT OF A CASE A 76-year-old woman presented with a draining lesion on her right arm that had been present for three to four months. It began as a bruise, which she believed she acquired from a fall, and then enlarged, developed blisters, and drained.The patient had no systemic complaints. Her medical history included breast cancer for which she had received a right radical mastectomy and postoperative radiation 22 years previously. She reported developing chronic swelling in her arm soon after surgery. There had been no sign of recurrence of her breast cancer over the years.The results of a physical examination were within normal limits, except for the absence of the right breast with a surgical scar on the right anterior aspect of the chest, enlargement of the right arm relative to the left, and a 12 × 24-cm violaceous area that contained draining bullae on her upper References 1. Stewart FW, Treves N: Lymphangiosarcoma in postmastectomy lymphedema . Cancer 1948;1:64-81.Crossref 2. Sordillo PP, Chapman R, Hajdu SI, et al: Lymphangiosarcoma . Cancer 1981;48:1674-1679.Crossref 3. Shirger A: Post-operative lymphedema: Etiologic and diagnostic factors . Med Clin North Am 1962;46:1045-1050. 4. Woodward AH, Ivins JC, Soule EH: Lymphangiosarcoma arising in chronic lymphedematous extremities . Cancer 1972;30:562-572.Crossref 5. Rook A, Wilkinson PS, Ebling FJG: Textbook of Dermatology , ed 6. Oxford, Blackwell Scientific Publishers, 1979, pp 2223-2224. 6. Lever W, Schaumburg-Lever G: Histopathology of the Skin , ed 6. New York, Lippincott & Crowell Publishers, 1983, pp 640-643. 7. Hashimoto K, Matsumoto M, Eto H, et al: Differentiation of metastatic breast carcinoma from Stewart-Treves angiosarcoma: Use of anti-keratin and anti-desmosome monoclonal antibodies and factor VIII-related antibodies . Arch Dermatol 1985;121:742-746.Crossref 8. Yap B, Yap H, McBridge CM, et al: Chemotherapy for postmastectomy lymphangiosarcoma . Cancer 1981;48:853-856.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

A Draining Arm Lesion in a Female Adult

Archives of Dermatology , Volume 121 (11) – Nov 1, 1985

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660110105027
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 76-year-old woman presented with a draining lesion on her right arm that had been present for three to four months. It began as a bruise, which she believed she acquired from a fall, and then enlarged, developed blisters, and drained.The patient had no systemic complaints. Her medical history included breast cancer for which she had received a right radical mastectomy and postoperative radiation 22 years previously. She reported developing chronic swelling in her arm soon after surgery. There had been no sign of recurrence of her breast cancer over the years.The results of a physical examination were within normal limits, except for the absence of the right breast with a surgical scar on the right anterior aspect of the chest, enlargement of the right arm relative to the left, and a 12 × 24-cm violaceous area that contained draining bullae on her upper References 1. Stewart FW, Treves N: Lymphangiosarcoma in postmastectomy lymphedema . Cancer 1948;1:64-81.Crossref 2. Sordillo PP, Chapman R, Hajdu SI, et al: Lymphangiosarcoma . Cancer 1981;48:1674-1679.Crossref 3. Shirger A: Post-operative lymphedema: Etiologic and diagnostic factors . Med Clin North Am 1962;46:1045-1050. 4. Woodward AH, Ivins JC, Soule EH: Lymphangiosarcoma arising in chronic lymphedematous extremities . Cancer 1972;30:562-572.Crossref 5. Rook A, Wilkinson PS, Ebling FJG: Textbook of Dermatology , ed 6. Oxford, Blackwell Scientific Publishers, 1979, pp 2223-2224. 6. Lever W, Schaumburg-Lever G: Histopathology of the Skin , ed 6. New York, Lippincott & Crowell Publishers, 1983, pp 640-643. 7. Hashimoto K, Matsumoto M, Eto H, et al: Differentiation of metastatic breast carcinoma from Stewart-Treves angiosarcoma: Use of anti-keratin and anti-desmosome monoclonal antibodies and factor VIII-related antibodies . Arch Dermatol 1985;121:742-746.Crossref 8. Yap B, Yap H, McBridge CM, et al: Chemotherapy for postmastectomy lymphangiosarcoma . Cancer 1981;48:853-856.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Nov 1, 1985

References