Title

Asymptomatic vesicular eruption on the chest in a breast cancer survivor. Diagnosis: Benign lymphangiomatous papules (BLAP) of the skin following radiotherapy

UMMS Affiliation

Department of Medicine, Division of Dermatology

Publication Date

2011-12-21

Document Type

Case Study

Subjects

Breast Neoplasms; Female; Follow-Up Studies; Humans; Lymphangioma; Middle Aged; Neoplasms, Radiation-Induced; Skin Neoplasms

Disciplines

Dermatology | Diagnosis | Investigative Techniques | Neoplasms | Skin and Connective Tissue Diseases | Surgical Procedures, Operative

Abstract

A 47-year-old woman with a history of inflammatory breast cancer presented with a 2- to 3-week history of asymptomatic lesions of the right chest and axilla. The cancer in her right breast had been treated 3.5 years earlier by bilateral mastectomy, right axillary lymph node dissection, tamoxifen therapy, and radiotherapy to the right chest. Physical examination revealed grouped vesicles, some on a background of mild erythema, and scattered, flesh-colored, flat-topped papules overlying the patient's mastectomy scars and radiation field on the right chest and axilla (Figure 1). The left chest and axilla were unaffected. Results from a Tzanck preparation, direct fluorescent antibody testing for herpes simplex virus and varicella zoster virus, and viral cultures were negative. A punch biopsy specimen was obtained from the right axilla (Figure 2 and Figure 3).

DOI of Published Version

10.1001/archderm.147.12.1443-b

Source

Arch Dermatol. 2011 Dec;147(12):1443, 1448. doi: 10.1001/archderm.147.12.1443-b. Link to article on publisher's site

Journal/Book/Conference Title

Archives of dermatology

Related Resources

Link to Article in PubMed

PubMed ID

22184771

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