Skin complications after radical mastectomy of interest to the dermatologist are elephantiasis, recurrent localized nodular cellulitis, recurring carcinomatous nodules, keloidal and hypertrophic scarring, pseudoacanthosis nigricans, localized neurodermatitis, lymphangiectatic varices, and lymphangiosarcoma (Stewart-Treves syndrome). A tuberous type of lymphangiectatic varix, not previously described, has been under observation by us.
Report of a Case
A 51-year-old Negro woman, was first seen in the Dermatology Clinic of the Cincinnati General Hospital in November, 1954. In December, 1940, a left radical mastectomy was performed for adenocarcinoma of the breast with histologically proved regional lymph-node metastases. Four months after surgery a persisting lymphedema of the left arm developed. The patient stated that she first noted small nodules appearing in the left axilla in March, 1954. Since that time, several small thick-roofed "blisters" had appeared along the inner aspect of her left arm. The patient was examined in the Tumor Clinic
PLOTNICK H, RICHFIELD D. Tuberous Lymphangiectatic Varices Secondary to Radical Mastectomy. AMA Arch Derm. 1956;74(5):466–468. doi:10.1001/archderm.1956.01550110010004