CHRONIC RADIODERMATITIS. Presented by DR. WEISS.
The patient gave a history of having received considerable roentgen-ray treatment twenty years previous to presentation. Sequelae appeared about a year after cessation of treatment. About five years previous to presentation, in addition to telangiectasia, atrophy and pigmentation, the patient developed numerous keratoses, some of which ulcerated. When presented, the patient exhibited an area about a foot square on the upper left side of the back. The area was telangiectatic and atrophic, and there were numerous keratoses. There were several indolent ulcers ranging in size from that of a split pea to that of a quarter which were covered with an adherent leathery crust. The patient complained of both itching and pain.
DISCUSSION
DR. WISE: I advise that the tissue be removed by surgical dissection followed by skin grafting.
DR. KINGSBURY: I advise leaving it alone. Surgery is contraindicated in this case.
Dr. Wise
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