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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of an 83-year-old woman who consulted for vesicular lesions on the right arm. The patient's history included right breast carcinoma, treated with radical mastectomy and lymphadenectomy 17 years ago, with chronic secondary lymphedema. The patient reported that these lesions appeared 2 months ago, were asymptomatic and progressed with flare-ups, which spontaneously ceased in 5–7 days. The physical examination showed translucent vesicles on skin of normal appearance (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a). A skin biopsy revealed thin-walled dilated vessels in the papillary dermis, which were formed by flattened cells with spaced nuclei. These structures were positive for the D2-40 immunohistochemical technique (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b), confirming the diagnosis of lymphangiectasia.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Acquired lymphangiectasia is the dilation of superficial lymphatic vessels, which can be observed in a wide variety of processes where the lymphatic drainage is impeded, such as in the context of axillary lymphadenectomy or mastectomy due to breast cancer, radiation therapy, hepatic cirrhosis, keloids and scleroderma. This condition manifests clinically as translucent vesicles over an area with previous chronic lymphedema. At the histopathological level, the characteristic feature is the presence of dilated vascular spaces in the papillary dermis, unlike the lymphatic malformations that arise in the deep dermis, with flattened lymphatic endothelial cells, which is verified by the positivity for lymphatic endothelium markers such as D2-40. The prognosis for this condition is favorable; however, recurrence is common, with a tendency towards chronicity.</p></span>"
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"nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Vergara de la Campa L, Martínez Lorenzo ER, Molina Figuera E. Linfangiectasias sobre linfedema crónico tras tratamiento de cáncer de mama. Rev Clin Esp. 2019:219:163–164.</p>"
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