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May 1984

Nursing Home Breast

Arch Surg. 1984;119(5):615. doi:10.1001/archsurg.1984.01390170109023

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To the Editor.—We recently examined a 78-year-old woman referred from a nursing home because of suspected breast carcinoma.

Report of a Case.—The patient's breasts were quite large and pendulous. The left breast was asymmetrically enlarged, with increased firmness to palpation and it appeared erythematous. The patient had been bedridden for at least six months. She was not thought to be experiencing congestive heart failure.

A mammogram disclosed marked skin thickening and an increase in the density of the parenchymal pattern. The findings were bilateral but much more pronounced on the left side. Because of the dependency of the breast, edema due to stasis was suspected. The patient was given a diuretic and supplied with a bra, which she wore for the first time in many months. Within a few days, the condition of her breasts began to improve. A repeated mammogram taken eight days later showed resolution of

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