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자료유형
학술저널
저자정보
김다빈 (Department of Surgery Soonchunhyang University Bucheon Hospital Soonchunhyang University College o) 허성모 (Department of Surgery Soonchunhyang University Bucheon Hospital Soonchunhyang University College of) 이재석 (Department of Surgery Soonchunhyang University Bucheon Hospital Soonchunhyang University College o) 진수지 (Department of Pathology Soonchunhyang University Bucheon Hospital Soonchunhyang University College) 임철완 (Department of Surgery Soonchunhyang University Bucheon Hospital Soonchunhyang University College of) 김지선 (순천향대학교)
저널정보
한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.24 No.4
발행연도
2021.8
수록면
409 - 416 (8page)
DOI
10.4048/jbc.2021.24.e25

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Postoperative pyoderma gangrenosum (PPG) is rare, and its diagnosis is often delayed because of its wound infection-mimicking course. A 53-year-old breast cancer patient who underwent breast-conserving surgery of the right breast presented with fever, leukocytosis, C-reactive protein elevation, and redness of the right breast on postoperative day (POD) 3. The breast wound showed desquamation with painful ulcerative changes from POD 6, and fever was sustained under antibiotic administration. Wound irrigation was attempted; however, inflammatory skin damage progressed to involvement of the entire skin overlying the breast. With clinical suspicion of PPG, skin biopsy and systemic corticosteroid initiation were performed on POD 12. Wound damage progression ceased, and the systemic inflammation subsided. The patient underwent split-thickness skin grafting under intravenous corticosteroid administration, and the wound healed after 30 days. PPG is a rare clinical scenario. Early diagnosis is critical to avoid unnecessary treatment and aggravation of the surgical wound.

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