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Case Reports in Surgery
Volume 2014 (2014), Article ID 316064, 2 pages
http://dx.doi.org/10.1155/2014/316064
Case Report

Idiopathic Thrombocytopenic Purpura after Mastectomy and Axillary Lymph Node Dissection

Division of Surgical Oncology, Department of Surgery, The Ohio State University College of Medicine, N924 Doan Hall, 410 W 10th Avenue, Columbus, OH 43210, USA

Received 18 December 2013; Accepted 5 February 2014; Published 6 March 2014

Academic Editors: D. Mantas, A. Nakajo, O. Olsha, and C. Tunon-de-Lara

Copyright © 2014 Wil L. Santivasi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

First described in 1916, idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease resulting in the destruction of platelets. Here, we present a case of an 85-year-old patient diagnosed with invasive ductal carcinoma of the breast whose surgical treatment was complicated postoperatively by acute-onset thrombocytopenia with a resultant hematoma at the operative site. Diagnostic Workup revealed no clear etiology for the thrombocytopenia; therefore, a presumptive diagnosis of idiopathic thrombocytopenic purpura was made. Previous literature has associated the development of idiopathic thrombocytopenic purpura with breast cancer. However, to the authors’ knowledge, there are no reported cases of ITP presenting immediately following surgical intervention for breast cancer in the absence of other etiologic factors.