The client is a 35-year-old African American woman who had a breast biopsy 1 year ago and was diagnosed with benign breast disease. Now, the incision site is elevated, dark, and pro-trudes beyond her breast skin
What is the nurse's interpretation of these findings? A. The client has formed a keloid, consisting of collagen and ground substance, as a result of surgical injury to the skin.
B. There is a high probability that skin cancer has developed as a result of surgical injury to the skin (Koebner phenomenon).
C. The benign breast disease has undergone malignant transformation to breast can-cer and become locally invasive.
D. The change in the breast biopsy scar represents chronic inflammatory changes that accompany deep and persistent infection.
A
A keloid is a benign, noninfectious, overgrowth of a scar from an excessive accumulation of col-lagen and ground substance after skin trauma. Although anyone can form a keloid, the propensity is more common among people with dark skin.
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