<prompt> 70 years old lady underwent Right Radical mastectomy 10 years back, now presents with multiple subcutaneous nodules in right upper limb. Most probable diagnosis isLymphangiosarcomeMultiple LipomasVaricose veinsMets  <response>: Ans. a LymphangiosarcomaRef Bailey and Love 27h edition page 879Lymphangiosarcoma Stewart Treves Syndrome It is a complication of Lymphedema which develops after mastectomy. It takes the form of multiple nodules in upperlimb. Differentiate from recurrent breast cancer. Poor prognosis Inter scapulothoracic Forequarter Amputation is rarely indicated 