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Lymphangiosarcoma in postmastectomy lymphedema (Stewart‐Treves syndrome): Ultrastructural and immunohistologic characteristics

Identifieur interne : 000F99 ( Istex/Corpus ); précédent : 000F98; suivant : 001000

Lymphangiosarcoma in postmastectomy lymphedema (Stewart‐Treves syndrome): Ultrastructural and immunohistologic characteristics

Auteurs : Katsuro Tomita ; Akio Yokogawa ; Yoshio Oda ; Shintaro Terahata

Source :

RBID : ISTEX:227B5A4592B08A1FB6E5263117420C1FD755518A

Abstract

Two cases of lymphangiosarcoma arising in a chronic lymphedematous extremity following mastectomy (Stewart‐Treves syndrome) were reported with not only standard histology, but also special study on the ultrastructure and immunohistology. These cancers developed as a result of chronic lymphedema of the involved limb following mastectomy 15 and 16 years ago, respectively, for breast carcinoma. Immunohistologic and electron microscopic examinations proved that this tumor originates in the vascular endotheliocytes, even though they are clinically chronic lesions apparently derived from the lymphatic vessels. This sarcoma develops multicentrically in an edematous arm and spreads out rapidly, so prognosis is quite discouraging in those patients. They need to be radically surgically treated without hesitation; hence, amputation, not limb‐saving surgery, should be indicated.

Url:
DOI: 10.1002/jso.2930380415

Links to Exploration step

ISTEX:227B5A4592B08A1FB6E5263117420C1FD755518A

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<keyword xml:id="kwd1">lymphangiosarcoma</keyword>
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<p>Two cases of lymphangiosarcoma arising in a chronic lymphedematous extremity following mastectomy (Stewart‐Treves syndrome) were reported with not only standard histology, but also special study on the ultrastructure and immunohistology. These cancers developed as a result of chronic lymphedema of the involved limb following mastectomy 15 and 16 years ago, respectively, for breast carcinoma. Immunohistologic and electron microscopic examinations proved that this tumor originates in the vascular endotheliocytes, even though they are clinically chronic lesions apparently derived from the lymphatic vessels. This sarcoma develops multicentrically in an edematous arm and spreads out rapidly, so prognosis is quite discouraging in those patients. They need to be radically surgically treated without hesitation; hence, amputation, not limb‐saving surgery, should be indicated.</p>
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<title>Lymphangiosarcoma in Postmastectomy Lymphedema (Stewart‐Treves Syndrome)</title>
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<abstract lang="en">Two cases of lymphangiosarcoma arising in a chronic lymphedematous extremity following mastectomy (Stewart‐Treves syndrome) were reported with not only standard histology, but also special study on the ultrastructure and immunohistology. These cancers developed as a result of chronic lymphedema of the involved limb following mastectomy 15 and 16 years ago, respectively, for breast carcinoma. Immunohistologic and electron microscopic examinations proved that this tumor originates in the vascular endotheliocytes, even though they are clinically chronic lesions apparently derived from the lymphatic vessels. This sarcoma develops multicentrically in an edematous arm and spreads out rapidly, so prognosis is quite discouraging in those patients. They need to be radically surgically treated without hesitation; hence, amputation, not limb‐saving surgery, should be indicated.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>lymphangiosarcoma</topic>
<topic>breast carcinoma</topic>
<topic>lymphedema</topic>
<topic>amputation</topic>
<topic>immunohistology</topic>
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<title>Journal of Surgical Oncology</title>
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<identifier type="ISSN">0022-4790</identifier>
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<identifier type="DOI">10.1002/(ISSN)1096-9098</identifier>
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<date>1988</date>
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<caption>vol.</caption>
<number>38</number>
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<number>4</number>
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