Ulcerated carcinoma of the breast in an elderly woman. An unusual clinical case report
Di Vita, G.; Cortese, E.; Matranga, S.; Renda, F.; Frazzetta, M.
Il Giornale di Chirurgia 18(1-2): 31-35
1997
ISSN/ISBN: 0391-9005 PMID: 9206478 Document Number: 483881
The authors analyze the most current methods for the treatment of ulcerated breast cancer in the elderly. They describe a peculiar case recently observed, characterized by an ulcerative lesion spreading from the hemiclavicle to the foreaxilla including the axillary cavity, causing a large phlebo-lymphaedema, anaesthesia and paresis of the homoteral upper limb. After an initial treatment with tamoxifen a scapulo-humeral disarticulation and a suture of the cutaneous wide defect were performed using a myo-skin graft which included the deltoid muscle. A radiotherapeutic treatment followed by tamoxifen therapy was carried out. No distant metastases and no local relapses were registered in the one year follow up. The Authors on the basis of their experience and according to the review of the Literature suggest that age itself is not a limiting factor to the therapeutic approach of ulcerated breast cancer.