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Stewart-Treves syndrome: MR imaging of a postmastectomy upper-limb chronic lymphedema with angiosarcoma.

Identifieur interne : 001A55 ( Ncbi/Checkpoint ); précédent : 001A54; suivant : 001A56

Stewart-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 Anderson

Source :

RBID : pubmed:15232657

Descripteurs français

English descriptors

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:15232657

Le document en format XML

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<nlm:affiliation>Department of Diagnostic Radiology, University Hospital of Bern, 3010, Inselspital, Bern, Switzerland, sebastian.schindera@insel.ch</nlm:affiliation>
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<name sortKey="Stauffer, E" sort="Stauffer, E" uniqKey="Stauffer E" first="E" last="Stauffer">E. Stauffer</name>
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<term>Aged, 80 and over</term>
<term>Arm</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<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>
<term>Mastectomy (adverse effects)</term>
<term>Skin Neoplasms (diagnosis)</term>
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<term>Syndrome</term>
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<term>Imagerie par résonance magnétique ()</term>
<term>Lymphangiosarcome (diagnostic)</term>
<term>Lymphangiosarcome (étiologie)</term>
<term>Lymphoedème ()</term>
<term>Maladie chronique</term>
<term>Mastectomie (effets indésirables)</term>
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<term>Syndrome</term>
<term>Tumeurs cutanées (diagnostic)</term>
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<term>Lymphangiosarcome</term>
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<term>Mastectomie</term>
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<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>
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