Question of the Week # 416

416) A 60-year-old woman with history of stage III melanoma of the right lower extremity underwent a lymph node dissection about one year ago. She presents with increasing swelling and mild pain in her right lower extremity over past several months. The pain is present all the time and does not get better with rest. The swelling has progressively increased and now, she has unsightly thickening of the skin. On examination, there is non-pitting edema of the entire right lower extremity. The skin is thickened and can not be pinched and lifted.

Which of the following is the most likely diagnosis?

A) Chronic Venous Insufficiency

B) Phlegmasia Alba Dolens

C) Phlegmasia Cerulea Dolens

D) Lymphedema

D) Peripheral Arterial Disease

11 Responses

  1. D

  2. d

  3. D

  4. D

  5. B

  6. D) Lymphedema

  7. d) Lymphedema due to a lymph node dissection about one year ago

  8. d

  9. D-

  10. D-Lymphedema

  11. d
    skin is thickened and can not be pinched and lifted

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