Eighty year old female with chronic lymphedema in left lower extremity

Presenter: Victoria Comeau, D.O., Alexandria Glass, D.O., Caitlin Porubsky, D.O., Carmen Julian, D.O., Marcus Goodman, D.O.

Dermatology Program: PCOM Dermatology Residency

CHIEF COMPLAINT:  “spot” on the left leg

CLINICAL HISTORY: 80 year old female presented with a “blue” golf ball sized lesion which appeared on her left leg about 1.5 years ago and has gradually enlarged. No previous treatments. The patient has a past medical history of coronary artery disease, type 2 diabetes mellitus, depression, hypertension, and severe left leg lymphedema. Her lymphedema started in the 1960’s after a radical total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO) secondary to cervical cancer. Her lymphedema had been stable, but progressed over the last few years.

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