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A Bumpy Course: Nodules Along a Mastectomy Scar

Published:January 31, 2017DOI:https://doi.org/10.1016/j.amjmed.2017.01.007
      The skin eruption on a patient with a history of cancer was not nearly as innocuous as she assumed. When a 54-year-old woman from Mexico presented with a 1-month history of erythematous, nontender, nonpruritic papules and nodules on the right side of her chest wall, she attributed the skin lesions to a spider bite. On examination, the largest of the lesions exhibited a well-circumscribed border and central ulceration (Figures 1 and 2). A review of systems was otherwise negative.
      Figure thumbnail gr1
      Figure 1The patient had erythematous papules and nodules along the chest wall at the site of a prior mastectomy incision. Note that the largest of the lesions exhibits central ulceration.
      Figure thumbnail gr2
      Figure 2The papules and nodules were neither tender nor pruritic.
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