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A 60-year old woman, following left modified radical mastectomy and axillary clearance for an invasive ductal carcinoma, (T2 N2 M0 stage) presented two years later with multiple enlarging ulcerative lesions with an everted edge and a necrotic centre in the ipsilateral lymphoedematous upper limb (Figure 1). She has been free of metastases before. An unusual case of skin metastasis from a breast cancer mimicking a lymphangiosarcoma