To the Editor.—
Tumor formation in mycosis fungoides (MF) may occur insidiously or rapidly, but the tumors seldom exceed 10 cm in diameter.1,2 Although ulceration is observed occasionally, destruction of deep tissues is unusual.3We report herein a case of MF with an ulcerated tumor that invaded and destroyed the left scapula and clavicle.
Report of a Case.—
A 52-year-old woman was well until 1973, at which time she developed erythematous plaques on her trunk. Three years later, a small nodule appeared and later ulcerated. A histologic diagnosis of MF was made in 1976. Until the patient was hospitalized in 1983, she refused all treatment. She presented in 1983 with abdominal distention and general fatigue. Physical examination revealed a tumor covering the left side of the neck, anterior part of the chest, shoulder, and upper part of the arm and axilla, measuring 26 × 32 cm (Fig 1).