Postmastectomy purpura: as benign as it looks?

A 70-year old woman, a right-sided breast cancer survivor, presented with itching and purpura on the right chest wall for the past 15 days. A year ago, the patient was diagnosed with locally advanced right breast cancer for which she underwent a right modified radical mastectomy. The histopathology report revealed an invasive ductal carcinoma with Paget disease of the nipple, staged as pT2N3a and estrogen and progesterone receptor negative, Her2 positive. The margins of resection were negative. She underwent 6 cycles of taxol-based chemotherapy, but declined postmastectomy radiation therapy and trastuzumab.
Source: Surgery - Category: Surgery Authors: Tags: Images in Surgery Source Type: research