SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD
Histopathological examination of the skin biopsy specimen revealed markedly dilated lymphangiomatous spaces with discontinuous flat endothelial lining within the papillary dermis, associated with a perivascular lymphocytic infiltrate, including a few neutrophils and eosinophils. Mild spongiosis with a focal hemorrhagic vesicle was observed in the overlying epidermis. There was no evidence of cytological atypia, viral cytopathic effects, or breast carcinoma.
The patient returned 1 year later and noted that the papules and vesicles had now spread to involve her central chest. She was offered surgical removal of the lesions but declined because she was asymptomatic. She is considering breast reconstruction surgery and may decide to pursue removal of the lymphangiomatous papules at that time.
Asymptomatic Vesicular Eruption on the Chest in a Breast Cancer Survivor —Diagnosis. Arch Dermatol. 2011;147(12):1443-1448. doi:10.1001/archderm.147.12.1443-f