Managing ulceration of the breast

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6975.328a (Published 04 February 1995) Cite this as: BMJ 1995;310:328
  1. Chris Stone,
  2. Ken Dunn
  1. Senior house officer Senior registrar Department of Plastic and Reconstructive Surgery, Withington Hospital, Manchester M20 8LR

    EDITOR,—The article on the management of breast infection includes, under the heading “skin associated infection,” a photograph of a previously irradiated breast showing longstanding telangiectasia within the radiotherapy field and a central area of ulceration of the skin.1 Although this is described as cellulitis, the features are typically those of cutaneous radionecrosis,2 which may be further complicated by an underlying osteoradionecrosis. We are concerned that the article is misleading as management with antibiotics and dressings would rarely produce a stable wound. We suggest that consideration should therefore be given to excision of the area affected and reconstruction with a local or distant flap.3


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