An "anaplastic" Kaposi's sarcoma mimicking a Stewart-Treves syndrome. A case report and a review of literature.
Identifieur interne : 006C30 ( Main/Exploration ); précédent : 006C29; suivant : 006C31An "anaplastic" Kaposi's sarcoma mimicking a Stewart-Treves syndrome. A case report and a review of literature.
Auteurs : Dimitri Salameire [France] ; Isabelle Templier ; Julie Charles ; Nicole Pinel ; Patrice Morand ; Marie-Thérèse Leccia ; Sylvie LantuejoulSource :
- The American Journal of dermatopathology [ 1533-0311 ] ; 2008.
Descripteurs français
- KwdFr :
- ADN tumoral (analyse), Adulte d'âge moyen, Diagnostic différentiel, Femelle, Herpèsvirus humain de type 8 (isolement et purification), Humains, Hémangiosarcome (diagnostic), Lymphangiosarcome (diagnostic), Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Marqueurs biologiques tumoraux (analyse), Protéines virales (métabolisme), Sarcome de Kaposi (), Sarcome de Kaposi (anatomopathologie), Sarcome de Kaposi (virologie), Syndrome, Tumeurs cutanées (), Tumeurs cutanées (anatomopathologie), Tumeurs cutanées (virologie).
- MESH :
- analyse : ADN tumoral, Marqueurs biologiques tumoraux.
- anatomopathologie : Lymphoedème, Sarcome de Kaposi, Tumeurs cutanées.
- diagnostic : Hémangiosarcome, Lymphangiosarcome.
- isolement et purification : Herpèsvirus humain de type 8.
- métabolisme : Protéines virales.
- virologie : Sarcome de Kaposi, Tumeurs cutanées.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Diagnostic différentiel, Femelle, Humains, Sarcome de Kaposi, Syndrome, Tumeurs cutanées.
English descriptors
- KwdEn :
- Biomarkers, Tumor (analysis), DNA, Neoplasm (analysis), Diagnosis, Differential, Female, Hemangiosarcoma (diagnosis), Herpesvirus 8, Human (isolation & purification), Humans, Lymphangiosarcoma (diagnosis), Lymphedema (etiology), Lymphedema (pathology), Middle Aged, Sarcoma, Kaposi (chemistry), Sarcoma, Kaposi (pathology), Sarcoma, Kaposi (virology), Skin Neoplasms (chemistry), Skin Neoplasms (pathology), Skin Neoplasms (virology), Syndrome, Viral Proteins (metabolism).
- MESH :
- chemical , analysis : Biomarkers, Tumor, DNA, Neoplasm.
- chemistry : Sarcoma, Kaposi, Skin Neoplasms.
- diagnosis : Hemangiosarcoma, Lymphangiosarcoma.
- etiology : Lymphedema.
- isolation & purification : Herpesvirus 8, Human.
- chemical , metabolism : Viral Proteins.
- pathology : Lymphedema, Sarcoma, Kaposi, Skin Neoplasms.
- virology : Sarcoma, Kaposi, Skin Neoplasms.
- Diagnosis, Differential, Female, Humans, Middle Aged, Syndrome.
Abstract
Cutaneous angiosarcoma (AGS) developing in a lymphedematous arm, after lymphadenectomy in the context of breast cancer, is the definition of the classical Stewart-Treves syndrome. Like AGS, many tumors such as Kaposi's sarcoma (KS) could develop in chronic lymphedema. We describe the case of a 50-year-old woman who presented with several nodules on the left lymphedematous arm evocative of a Stewart-Treves syndrome, 2 years after a left mastectomy and a homolateral lymphadenectomy. The histological examination revealed an atypical vascular proliferation suggesting AGS, but endothelial atypical cells nuclei were strongly stained by herpes human virus 8 antibody. The final diagnosis was an "anaplastic" KS mimicking a Stewart-Treves syndrome. The total regression of the lesion was obtained by elastic contention and intradermic liposomal doxorubicin. "Anaplastic" KS is a rare histological form of nodular KS, which mimics a cutaneous AGS but classically expresses herpes human virus 8. It is essential to know about this entity, particularly in a lymphedematous arm, to avoid aggressive treatment such as amputation.
DOI: 10.1097/DAD.0b013e318169fd5f
PubMed: 18496429
Affiliations:
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DSalameire@chu-grenoble.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pôle de biologie-Département d'Anatomie et Cytologie Pathologiques, CHU Grenoble</wicri:regionArea><wicri:noRegion>CHU Grenoble</wicri:noRegion><wicri:noRegion>CHU Grenoble</wicri:noRegion></affiliation></author><author><name sortKey="Templier, Isabelle" sort="Templier, Isabelle" uniqKey="Templier I" first="Isabelle" last="Templier">Isabelle Templier</name></author><author><name sortKey="Charles, Julie" sort="Charles, Julie" uniqKey="Charles J" first="Julie" last="Charles">Julie Charles</name></author><author><name sortKey="Pinel, Nicole" sort="Pinel, Nicole" uniqKey="Pinel N" first="Nicole" last="Pinel">Nicole Pinel</name></author><author><name sortKey="Morand, Patrice" sort="Morand, Patrice" uniqKey="Morand P" first="Patrice" last="Morand">Patrice Morand</name></author><author><name sortKey="Leccia, Marie Therese" sort="Leccia, Marie Therese" uniqKey="Leccia M" first="Marie-Thérèse" last="Leccia">Marie-Thérèse Leccia</name></author><author><name sortKey="Lantuejoul, Sylvie" sort="Lantuejoul, Sylvie" uniqKey="Lantuejoul S" first="Sylvie" last="Lantuejoul">Sylvie Lantuejoul</name></author></analytic><series><title level="j">The American Journal of dermatopathology</title><idno type="eISSN">1533-0311</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biomarkers, Tumor (analysis)</term><term>DNA, Neoplasm (analysis)</term><term>Diagnosis, Differential</term><term>Female</term><term>Hemangiosarcoma (diagnosis)</term><term>Herpesvirus 8, Human (isolation & purification)</term><term>Humans</term><term>Lymphangiosarcoma (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Middle Aged</term><term>Sarcoma, Kaposi (chemistry)</term><term>Sarcoma, Kaposi (pathology)</term><term>Sarcoma, Kaposi (virology)</term><term>Skin Neoplasms (chemistry)</term><term>Skin Neoplasms (pathology)</term><term>Skin Neoplasms (virology)</term><term>Syndrome</term><term>Viral Proteins (metabolism)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>ADN tumoral (analyse)</term><term>Adulte d'âge moyen</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Herpèsvirus humain de type 8 (isolement et purification)</term><term>Humains</term><term>Hémangiosarcome (diagnostic)</term><term>Lymphangiosarcome (diagnostic)</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (étiologie)</term><term>Marqueurs biologiques tumoraux (analyse)</term><term>Protéines virales (métabolisme)</term><term>Sarcome de Kaposi ()</term><term>Sarcome de Kaposi (anatomopathologie)</term><term>Sarcome de Kaposi (virologie)</term><term>Syndrome</term><term>Tumeurs cutanées ()</term><term>Tumeurs cutanées (anatomopathologie)</term><term>Tumeurs cutanées 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Differential</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Syndrome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Sarcome de Kaposi</term><term>Syndrome</term><term>Tumeurs cutanées</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cutaneous angiosarcoma (AGS) developing in a lymphedematous arm, after lymphadenectomy in the context of breast cancer, is the definition of the classical Stewart-Treves syndrome. Like AGS, many tumors such as Kaposi's sarcoma (KS) could develop in chronic lymphedema. We describe the case of a 50-year-old woman who presented with several nodules on the left lymphedematous arm evocative of a Stewart-Treves syndrome, 2 years after a left mastectomy and a homolateral lymphadenectomy. The histological examination revealed an atypical vascular proliferation suggesting AGS, but endothelial atypical cells nuclei were strongly stained by herpes human virus 8 antibody. The final diagnosis was an "anaplastic" KS mimicking a Stewart-Treves syndrome. The total regression of the lesion was obtained by elastic contention and intradermic liposomal doxorubicin. "Anaplastic" KS is a rare histological form of nodular KS, which mimics a cutaneous AGS but classically expresses herpes human virus 8. It is essential to know about this entity, particularly in a lymphedematous arm, to avoid aggressive treatment such as amputation.</div></front></TEI><affiliations><list><country><li>France</li></country></list><tree><noCountry><name sortKey="Charles, Julie" sort="Charles, Julie" uniqKey="Charles J" first="Julie" last="Charles">Julie Charles</name><name sortKey="Lantuejoul, Sylvie" sort="Lantuejoul, Sylvie" uniqKey="Lantuejoul S" first="Sylvie" last="Lantuejoul">Sylvie Lantuejoul</name><name sortKey="Leccia, Marie Therese" sort="Leccia, Marie Therese" uniqKey="Leccia M" first="Marie-Thérèse" last="Leccia">Marie-Thérèse Leccia</name><name sortKey="Morand, Patrice" sort="Morand, Patrice" uniqKey="Morand P" first="Patrice" last="Morand">Patrice Morand</name><name sortKey="Pinel, Nicole" sort="Pinel, Nicole" uniqKey="Pinel N" first="Nicole" last="Pinel">Nicole Pinel</name><name sortKey="Templier, Isabelle" sort="Templier, Isabelle" uniqKey="Templier I" first="Isabelle" last="Templier">Isabelle Templier</name></noCountry><country name="France"><noRegion><name sortKey="Salameire, Dimitri" sort="Salameire, Dimitri" uniqKey="Salameire D" first="Dimitri" last="Salameire">Dimitri Salameire</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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