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Lymphangiosarcoma in late-onset hereditary lymphedema: case report and nosological implications.

Identifieur interne : 00B212 ( Ncbi/Checkpoint ); précédent : 00B211; suivant : 00B213

Lymphangiosarcoma in late-onset hereditary lymphedema: case report and nosological implications.

Auteurs : H C Andersson [États-Unis] ; D M Parry ; J J Mulvihill

Source :

RBID : pubmed:7747790

Descripteurs français

English descriptors

Abstract

Hereditary lymphedemas that are not associated with other malformations usually affect the lower limbs and are inherited in an autosomal dominant fashion. These non-syndromic hereditary lymphedemas are categorized by their age of onset, being either congenital (Milroy disease) or having an onset in childhood or around puberty (Meige disease). We describe a family in which three individuals in three generations had unusually late onset of lymphedema in their mid-twenties or thirties. The proband additionally developed a very rare lymphangiosarcoma. This tumor, usually associated with post-mastectomy lymphedema, has not been described in late-onset hereditary lymphedema. Because of an unusually high incidence of multiple primary tumors in association with lymphangiosarcoma in the literature (approximately 10%) and the proband's own familial cancer background, we speculate that an inherited predisposition to malignancy may underlie the development of lymphedema-associated lymphangiosarcoma.

DOI: 10.1002/ajmg.1320560116
PubMed: 7747790


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pubmed:7747790

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<term>Lymphangiosarcoma (complications)</term>
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<term>Lymphedema (genetics)</term>
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<div type="abstract" xml:lang="en">Hereditary lymphedemas that are not associated with other malformations usually affect the lower limbs and are inherited in an autosomal dominant fashion. These non-syndromic hereditary lymphedemas are categorized by their age of onset, being either congenital (Milroy disease) or having an onset in childhood or around puberty (Meige disease). We describe a family in which three individuals in three generations had unusually late onset of lymphedema in their mid-twenties or thirties. The proband additionally developed a very rare lymphangiosarcoma. This tumor, usually associated with post-mastectomy lymphedema, has not been described in late-onset hereditary lymphedema. Because of an unusually high incidence of multiple primary tumors in association with lymphangiosarcoma in the literature (approximately 10%) and the proband's own familial cancer background, we speculate that an inherited predisposition to malignancy may underlie the development of lymphedema-associated lymphangiosarcoma.</div>
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