PMC5569635_01
Preoperative picture of the skin lesion on the right anterior chest over the mastectomy scar.
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On physical examination, the skin lesion was a localized, well-defined, indurated erythematous not warm plaque measuring 5 x 4 cm overlying the right anterior chest wall over the mastectomy scar (Figure 1).
Histopathology of the skin lesion featuring intact epidermis and several dilated lymphatics or capillaries in the dermis filled with tumor emboli (H&E x40).
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TRAM flap (Figure 2). The aim of the flap is to close the wound primarily and to have a better cosmetic outcome.
Intraoperative picture of the resected tumor.
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Histopathological study of the resected tumor showed extensive tumor emboli within the lymphatics of the dermis of the involved skin (Figure 3).