Stewart-Treves syndrome: MR imaging of a postmastectomy upper-limb chronic lymphedema with angiosarcoma.
Identifieur interne : 001A55 ( Ncbi/Checkpoint ); précédent : 001A54; suivant : 001A56Stewart-Treves syndrome: MR imaging of a postmastectomy upper-limb chronic lymphedema with angiosarcoma.
Auteurs : S T Schindera [Suisse] ; M. Streit ; U. Kaelin ; E. Stauffer ; L. Steinbach ; S E AndersonSource :
- Skeletal radiology [ 0364-2348 ] ; 2005.
Descripteurs français
- KwdFr :
- Bras, Diagnostic différentiel, Femelle, Humains, Imagerie par résonance magnétique (), Lymphangiosarcome (diagnostic), Lymphangiosarcome (étiologie), Lymphoedème (), Maladie chronique, Mastectomie (effets indésirables), Sujet âgé de 80 ans ou plus, Syndrome, Tumeurs cutanées (diagnostic), Tumeurs cutanées (étiologie), Tumeurs du sein (), Tumeurs du sein (radiothérapie).
- MESH :
- diagnostic : Lymphangiosarcome, Tumeurs cutanées.
- effets indésirables : Mastectomie.
- radiothérapie : Tumeurs du sein.
- étiologie : Lymphangiosarcome, Tumeurs cutanées.
- Bras, Diagnostic différentiel, Femelle, Humains, Imagerie par résonance magnétique, Lymphoedème, Maladie chronique, Sujet âgé de 80 ans ou plus, Syndrome, Tumeurs du sein.
English descriptors
- KwdEn :
- Aged, 80 and over, Arm, Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Chronic Disease, Diagnosis, Differential, Female, Humans, Lymphangiosarcoma (diagnosis), Lymphangiosarcoma (etiology), Lymphedema (complications), Magnetic Resonance Imaging (methods), Mastectomy (adverse effects), Skin Neoplasms (diagnosis), Skin Neoplasms (etiology), Syndrome.
- MESH :
- adverse effects : Mastectomy.
- complications : Lymphedema.
- diagnosis : Lymphangiosarcoma, Skin Neoplasms.
- etiology : Lymphangiosarcoma, Skin Neoplasms.
- methods : Magnetic Resonance Imaging.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Aged, 80 and over, Arm, Chronic Disease, Diagnosis, Differential, Female, Humans, Syndrome.
Abstract
The rare occurrence of angiosarcoma in postmastectomy upper-limb lymphedema with magnetic resonance (MR) imaging is discussed. Unfamiliarity with this aggressive vascular tumor and its harmless appearance often leads to delayed diagnosis. Angiosarcoma complicating chronic lymphedema may be low in signal intensity on T2-weighting and short tau inversion recovery (STIR) imaging reflecting the densely cellular, fibrous stroma, and sparsely vascularized tumor histology. Additional administration of intravenous contrast medium revealed significant enhancement of the tumorous lesions. Awareness of angiosarcoma and its MR imaging appearance in patients with chronic lymphedema may be a key to early diagnosis or allow at least inclusion in the differential diagnosis.
DOI: 10.1007/s00256-004-0807-5
PubMed: 15232657
Affiliations:
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pubmed:15232657Le document en format XML
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<term>Chronic Disease</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphangiosarcoma (diagnosis)</term>
<term>Lymphangiosarcoma (etiology)</term>
<term>Lymphedema (complications)</term>
<term>Magnetic Resonance Imaging (methods)</term>
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<term>Skin Neoplasms (diagnosis)</term>
<term>Skin Neoplasms (etiology)</term>
<term>Syndrome</term>
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<term>Lymphangiosarcome (étiologie)</term>
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<term>Tumeurs cutanées (étiologie)</term>
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<term>Tumeurs du sein (radiothérapie)</term>
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<term>Tumeurs cutanées</term>
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<front><div type="abstract" xml:lang="en">The rare occurrence of angiosarcoma in postmastectomy upper-limb lymphedema with magnetic resonance (MR) imaging is discussed. Unfamiliarity with this aggressive vascular tumor and its harmless appearance often leads to delayed diagnosis. Angiosarcoma complicating chronic lymphedema may be low in signal intensity on T2-weighting and short tau inversion recovery (STIR) imaging reflecting the densely cellular, fibrous stroma, and sparsely vascularized tumor histology. Additional administration of intravenous contrast medium revealed significant enhancement of the tumorous lesions. Awareness of angiosarcoma and its MR imaging appearance in patients with chronic lymphedema may be a key to early diagnosis or allow at least inclusion in the differential diagnosis.</div>
</front>
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<tree><noCountry><name sortKey="Anderson, S E" sort="Anderson, S E" uniqKey="Anderson S" first="S E" last="Anderson">S E Anderson</name>
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<name sortKey="Steinbach, L" sort="Steinbach, L" uniqKey="Steinbach L" first="L" last="Steinbach">L. Steinbach</name>
<name sortKey="Streit, M" sort="Streit, M" uniqKey="Streit M" first="M" last="Streit">M. Streit</name>
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<country name="Suisse"><noRegion><name sortKey="Schindera, S T" sort="Schindera, S T" uniqKey="Schindera S" first="S T" last="Schindera">S T Schindera</name>
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