An uncommon cause of lymphoedema

Patient Age: 92

• Radical mastectomy in 1959 followed by DXR
• presents with a one month history of lymphoedema
• arm function slightly restricted because of arthritis
• seen at Westmead BCI on 2 August 2000

Clinical findings:

• 5 cm difference in girth 10 cm below the olecranon
• erythema noted around inner arm and pacemaker
• radical mastectomy scar
• telangiectasia – IMC region consistent with previous DXR