Cutaneous Erythema at Scar Site of Modified Radical Mastectomy: An Unexpected Manifestation of Recurrent Carcinoma. (10th August 2017)

• Record Type: Journal Article
• Authors: Nasralla, Awrad Mohammed-Reda; Al-Duhileb, Mohammed Abdulirazzaq; Arini, Ali Jamal-Aldein; Amr, Samir Sami
• Other Names: Olsha Oded Academic Editor.
• Is Part Of: Case reports in surgery. Volume 2017(2017)
• Publication Date: 2017-08-10
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; Surgical Procedures, Operative; General Surgery; Surgery; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617
• DOI: 10.1155/2017/6879626
• Languages: English
• ISSNs: 2090-6900

Abstract

Abstract : A 44-year-old woman presented with marked erythema over right mastectomy scar, while on Herceptin therapy. She had neoadjuvant chemotherapy, modified radical mastectomy, and radiotherapy less than one year earlier for the treatment of invasive ductal carcinoma. On physical examination, no palpable masses were detected in the erythematous skin. A biopsy revealed permeation of the skin lymphatics by emboli of metastatic ductal carcinoma, similar to what is seen in inflammatory carcinoma. The involved skin was excised, followed by immediate reconstruction with transverse rectus abdominis muscle (TRAM) flap. On follow-up, the wound was healing well, with no signs of inflammation.