I'm am running out of ideas and could use some new inspriation... I have a client with radiation induced spindle cell sarcoma from a previous mastectomy and breast cancer treatment. The sarcoma has caused a nasty wound and is eroding the skin and muscle on the left side of the chest, beneath the axilla and is moving deeper and deeper into her chest wall. It is so deep I can now visualize fascia and her collarbone. We've been controlling small bleeds with silver nitrate. This client is absolutely petrified of bleeding to death but i think that is where this is headed as the erosion continues toward her brachial artery. The area is so tender and difficult to dress that it is generally left open to air, with any eschar formed left in place to prevent large scale bleeds. Does anyone have any ideas of what I can do with this wound, or where it might be going? I've never seen anything like it before and feel at a bit of a loss.