Kaposi sarcoma following postmastectomy lymphedema.
Identifieur interne : 001C25 ( Main/Exploration ); précédent : 001C24; suivant : 001C26Kaposi sarcoma following postmastectomy lymphedema.
Auteurs : Iria Montero Pérez [Espagne] ; Laura Rodríguez-Pazos [Espagne] ; Adriana Álvarez-Pérez [Espagne] ; M Mercedes Pereiro Ferreir S [Espagne] ; Carlos Aliste [Espagne] ; Jose Manuel Suarez-Pe Aranda [Espagne] ; Jaime Toribio [Espagne]Source :
- Journal of cutaneous pathology [ 1600-0560 ] ; 2015.
Descripteurs français
- KwdFr :
- Diagnostic différentiel, Femelle, Herpèsvirus humain de type 8 (immunologie), Herpèsvirus humain de type 8 (isolement et purification), Humains, Hémangiosarcome (anatomopathologie), Hémangiosarcome (diagnostic), Hémangiosarcome (virologie), Lymphangiosarcome (anatomopathologie), Lymphangiosarcome (diagnostic), Lymphoedème (anatomopathologie), Lymphoedème (virologie), Mastectomie (effets indésirables), Sarcome de Kaposi (anatomopathologie), Sarcome de Kaposi (virologie), Sujet âgé de 80 ans ou plus, Tumeurs cutanées (anatomopathologie), Tumeurs cutanées (virologie), Tumeurs vasculaires (anatomopathologie), Tumeurs vasculaires (virologie).
- MESH :
- anatomopathologie : Hémangiosarcome, Lymphangiosarcome, Lymphoedème, Sarcome de Kaposi, Tumeurs cutanées, Tumeurs vasculaires.
- diagnostic : Hémangiosarcome, Lymphangiosarcome.
- effets indésirables : Mastectomie.
- immunologie : Herpèsvirus humain de type 8.
- isolement et purification : Herpèsvirus humain de type 8.
- virologie : Hémangiosarcome, Lymphoedème, Sarcome de Kaposi, Tumeurs cutanées, Tumeurs vasculaires.
- Diagnostic différentiel, Femelle, Humains, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Aged, 80 and over, Diagnosis, Differential, Female, Hemangiosarcoma (diagnosis), Hemangiosarcoma (pathology), Hemangiosarcoma (virology), Herpesvirus 8, Human (immunology), Herpesvirus 8, Human (isolation & purification), Humans, Lymphangiosarcoma (diagnosis), Lymphangiosarcoma (pathology), Lymphedema (pathology), Lymphedema (virology), Mastectomy (adverse effects), Sarcoma, Kaposi (pathology), Sarcoma, Kaposi (virology), Skin Neoplasms (pathology), Skin Neoplasms (virology), Vascular Neoplasms (pathology), Vascular Neoplasms (virology).
- MESH :
- adverse effects : Mastectomy.
- diagnosis : Hemangiosarcoma, Lymphangiosarcoma.
- immunology : Herpesvirus 8, Human.
- isolation & purification : Herpesvirus 8, Human.
- pathology : Hemangiosarcoma, Lymphangiosarcoma, Lymphedema, Sarcoma, Kaposi, Skin Neoplasms, Vascular Neoplasms.
- virology : Hemangiosarcoma, Lymphedema, Sarcoma, Kaposi, Skin Neoplasms, Vascular Neoplasms.
- Aged, 80 and over, Diagnosis, Differential, Female, Humans.
Abstract
Classical Kaposi sarcoma (KS) usually appears on lower extremities accompanied or preceded by local lymphedema. However, the development in areas of chronic lymphedema of the arms following mastectomy, mimicking a Stewart-Treves syndrome, has rarely been described. We report an 81-year-old woman who developed multiple, erythematous to purple tumors, located on areas of post mastectomy lymphedema. Histopathological examination evidenced several dermal nodules formed by spindle-shaped cells that delimitated slit-like vascular spaces with some red cell extravasation. Immunohistochemically, the human herpesvirus type 8 (HHV-8) latent nuclear antigen-1 was detected in the nuclei of most tumoral cells confirming the diagnosis of KS. Lymphedema could promote the development of certain tumors by altering immunocompetence. Although angiosarcoma (AS) is the most frequent neoplasia arising in the setting of chronic lymphedema, other tumors such as benign lymphangiomatous papules (BLAP) or KS can also develop in lymphedematous limbs. It is important to establish the difference between AS and KS because their prognosis and treatment are very different. Identification by immunohistochemistry of HHV-8 is useful for the distinction between KS and AS or BLAP.
DOI: 10.1111/cup.12573
PubMed: 26264753
Affiliations:
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Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Pazos, Laura" sort="Rodriguez Pazos, Laura" uniqKey="Rodriguez Pazos L" first="Laura" last="Rodríguez-Pazos">Laura Rodríguez-Pazos</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Alvarez Perez, Adriana" sort="Alvarez Perez, Adriana" uniqKey="Alvarez Perez A" first="Adriana" last="Álvarez-Pérez">Adriana Álvarez-Pérez</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Ferreir S, M Mercedes Pereiro" sort="Ferreir S, M Mercedes Pereiro" uniqKey="Ferreir S M" first="M Mercedes Pereiro" last="Ferreir S">M Mercedes Pereiro Ferreir S</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Aliste, Carlos" sort="Aliste, Carlos" uniqKey="Aliste C" first="Carlos" last="Aliste">Carlos Aliste</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Suarez Pe Aranda, Jose Manuel" sort="Suarez Pe Aranda, Jose Manuel" uniqKey="Suarez Pe Aranda J" first="Jose Manuel" last="Suarez-Pe Aranda">Jose Manuel Suarez-Pe Aranda</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Toribio, Jaime" sort="Toribio, Jaime" uniqKey="Toribio J" first="Jaime" last="Toribio">Jaime Toribio</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology and Pathology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of cutaneous pathology</title><idno type="eISSN">1600-0560</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged, 80 and over</term><term>Diagnosis, Differential</term><term>Female</term><term>Hemangiosarcoma (diagnosis)</term><term>Hemangiosarcoma (pathology)</term><term>Hemangiosarcoma (virology)</term><term>Herpesvirus 8, Human (immunology)</term><term>Herpesvirus 8, Human (isolation & purification)</term><term>Humans</term><term>Lymphangiosarcoma (diagnosis)</term><term>Lymphangiosarcoma (pathology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (virology)</term><term>Mastectomy (adverse effects)</term><term>Sarcoma, Kaposi (pathology)</term><term>Sarcoma, Kaposi (virology)</term><term>Skin Neoplasms (pathology)</term><term>Skin Neoplasms (virology)</term><term>Vascular Neoplasms (pathology)</term><term>Vascular Neoplasms (virology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Diagnostic différentiel</term><term>Femelle</term><term>Herpèsvirus humain de type 8 (immunologie)</term><term>Herpèsvirus humain de type 8 (isolement et purification)</term><term>Humains</term><term>Hémangiosarcome (anatomopathologie)</term><term>Hémangiosarcome (diagnostic)</term><term>Hémangiosarcome (virologie)</term><term>Lymphangiosarcome (anatomopathologie)</term><term>Lymphangiosarcome (diagnostic)</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (virologie)</term><term>Mastectomie (effets indésirables)</term><term>Sarcome de Kaposi (anatomopathologie)</term><term>Sarcome de Kaposi (virologie)</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs cutanées (anatomopathologie)</term><term>Tumeurs cutanées (virologie)</term><term>Tumeurs vasculaires (anatomopathologie)</term><term>Tumeurs vasculaires (virologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Hémangiosarcome</term><term>Lymphangiosarcome</term><term>Lymphoedème</term><term>Sarcome de Kaposi</term><term>Tumeurs cutanées</term><term>Tumeurs vasculaires</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hemangiosarcoma</term><term>Lymphangiosarcoma</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Hémangiosarcome</term><term>Lymphangiosarcome</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Herpèsvirus humain de type 8</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Herpesvirus 8, Human</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Herpesvirus 8, Human</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Herpèsvirus humain de type 8</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Hemangiosarcoma</term><term>Lymphangiosarcoma</term><term>Lymphedema</term><term>Sarcoma, Kaposi</term><term>Skin Neoplasms</term><term>Vascular Neoplasms</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Hémangiosarcome</term><term>Lymphoedème</term><term>Sarcome de Kaposi</term><term>Tumeurs cutanées</term><term>Tumeurs vasculaires</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Hemangiosarcoma</term><term>Lymphedema</term><term>Sarcoma, Kaposi</term><term>Skin Neoplasms</term><term>Vascular Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged, 80 and over</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Classical Kaposi sarcoma (KS) usually appears on lower extremities accompanied or preceded by local lymphedema. However, the development in areas of chronic lymphedema of the arms following mastectomy, mimicking a Stewart-Treves syndrome, has rarely been described. We report an 81-year-old woman who developed multiple, erythematous to purple tumors, located on areas of post mastectomy lymphedema. Histopathological examination evidenced several dermal nodules formed by spindle-shaped cells that delimitated slit-like vascular spaces with some red cell extravasation. Immunohistochemically, the human herpesvirus type 8 (HHV-8) latent nuclear antigen-1 was detected in the nuclei of most tumoral cells confirming the diagnosis of KS. Lymphedema could promote the development of certain tumors by altering immunocompetence. Although angiosarcoma (AS) is the most frequent neoplasia arising in the setting of chronic lymphedema, other tumors such as benign lymphangiomatous papules (BLAP) or KS can also develop in lymphedematous limbs. It is important to establish the difference between AS and KS because their prognosis and treatment are very different. Identification by immunohistochemistry of HHV-8 is useful for the distinction between KS and AS or BLAP.</div></front></TEI><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Montero Perez, Iria" sort="Montero Perez, Iria" uniqKey="Montero Perez I" first="Iria" last="Montero Pérez">Iria Montero Pérez</name></noRegion><name sortKey="Aliste, Carlos" sort="Aliste, Carlos" uniqKey="Aliste C" first="Carlos" last="Aliste">Carlos Aliste</name><name sortKey="Alvarez Perez, Adriana" sort="Alvarez Perez, Adriana" uniqKey="Alvarez Perez A" first="Adriana" last="Álvarez-Pérez">Adriana Álvarez-Pérez</name><name sortKey="Ferreir S, M Mercedes Pereiro" sort="Ferreir S, M Mercedes Pereiro" uniqKey="Ferreir S M" first="M Mercedes Pereiro" last="Ferreir S">M Mercedes Pereiro Ferreir S</name><name sortKey="Rodriguez Pazos, Laura" sort="Rodriguez Pazos, Laura" uniqKey="Rodriguez Pazos L" first="Laura" last="Rodríguez-Pazos">Laura Rodríguez-Pazos</name><name sortKey="Suarez Pe Aranda, Jose Manuel" sort="Suarez Pe Aranda, Jose Manuel" uniqKey="Suarez Pe Aranda J" first="Jose Manuel" last="Suarez-Pe Aranda">Jose Manuel Suarez-Pe Aranda</name><name sortKey="Toribio, Jaime" sort="Toribio, Jaime" uniqKey="Toribio J" first="Jaime" last="Toribio">Jaime Toribio</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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