title: [Ulcerated carcinoma of the breast in an elderly woman. An unusual clinical case report].
abstract: 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.
authors.affiliation: Dipartimento di Discipline Chirurgiche ed Anatomiche, Università degli Studi di Palermo.
authors.forename: G
authors.initials: G
authors.lastname: Di Vita
authors.forename: E
authors.initials: E
authors.lastname: Cortese
authors.forename: S
authors.initials: S
authors.lastname: Matranga
authors.forename: F
authors.initials: F
authors.lastname: Renda
authors.forename: M
authors.initials: M
authors.lastname: Frazzetta
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D002277:Carcinoma / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013524:Surgical Flaps; D013629:Tamoxifen / Q000627:therapeutic use; D013997:Time Factors; D014456:Ulcer / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*
chemical_list: D018931:Antineoplastic Agents, Hormonal; D013629:Tamoxifen