Presentation

A 90-year-old woman develops four painless lumps in the skin of the right arm and trunk. 16 years before, she was diagnosed with a stage 1 carcinoma of the left breast (pT2 pN0 HER2 positive breast cancer). She underwent a lower-outer left quadrantectomy and axillary lymph node dissection, followed by radiotherapy and hormonal therapy. Two years before the patient had a metastatic femoral fracture treated by intramedullary nailing.

Patient Data

Age: 90 years
Gender: Female
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