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How would you counsel a patient who will undergo breast irradiation in which a large port wine stain is overlying the breast?
Should the patient be counseled to anticipate a worse skin reaction than normal?
Answer from: Radiation Oncologist at Community Practice
Port-wine stain (PWS) is the second most common congenital vascular malformation characterized as ectatic capillaries and venules in the dermis that clinically appears as a deep red to purple patch on the skin. Like other benign vascular abnormalities (symptomatic hemangiomas of spine, etc) an...
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Answer from: Radiation Oncologist at Community Practice
.... it’s difficult to make any assessment with one clinical case study.
Of note: “the anterior chest wall on women is frequently exposed to excessive sunlight at the beach... in many women have early signs of actinic keratosis in severe severe damage present in their early 40s.
I woul...