70 years old lady underwent Right Radical mastectomy 10 years back, now presents with multiple subcutaneous nodules in right upper limb. Most probable diagnosis is: (A) Lymphangiosarcome, (B) Multiple Lipomas, (C) Varicose veins, (D) Mets
Answer is A. Ans. (a) Lymphangiosarcoma(Ref Bailey and Love 27h edition page 879)Lymphangiosarcoma (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