Stewart-Treves Syndrome Involving Chronic Lymphedema after Mastectomy of Breast Cancer
Identifieur interne : 000071 ( Pmc/Checkpoint ); précédent : 000070; suivant : 000072Stewart-Treves Syndrome Involving Chronic Lymphedema after Mastectomy of Breast Cancer
Auteurs : Smain Nabil Mesli [Algérie] ; Amin Khayreddine Ghouali [Algérie] ; Fouad Benamara [Algérie] ; Fouzi Ahmed Taleb [Algérie] ; Hicham Tahraoui [Algérie] ; Chakib Abi-Ayad [Algérie]Source :
- Case Reports in Surgery [ 2090-6900 ] ; 2017.
Abstract
Steward-Treves syndrome is a cutaneous angiosarcoma that usually appears after long evolution of a lymphoedema after mastectomy for mammary neoplasia associated with an axillary dissection. This is a rare disease develop most of the time in upper arm and often confounded with cutaneous metastasis. Only the biopsy and immunohistochemical study confirm the diagnosis. The treatment is surgical and consists of large cutaneous excision, an amputation of the limb or even its disarticulation and will be followed by chemotherapy. Despite the treatment, the prognosis remains severe with poor survival. We report the case of a patient who had a Steward-Treves syndrome 20 years after lymphoedema following a left mastectomy with axillary dissection.
Url:
DOI: 10.1155/2017/4056459
PubMed: 28280645
PubMed Central: 5322458
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Cancer</title><author><name sortKey="Mesli, Smain Nabil" sort="Mesli, Smain Nabil" uniqKey="Mesli S" first="Smain Nabil" last="Mesli">Smain Nabil Mesli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation></author><author><name sortKey="Ghouali, Amin Khayreddine" sort="Ghouali, Amin Khayreddine" uniqKey="Ghouali A" first="Amin Khayreddine" last="Ghouali">Amin Khayreddine Ghouali</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation></author><author><name sortKey="Benamara, Fouad" sort="Benamara, Fouad" uniqKey="Benamara F" first="Fouad" last="Benamara">Fouad Benamara</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation></author><author><name sortKey="Taleb, Fouzi Ahmed" sort="Taleb, Fouzi Ahmed" uniqKey="Taleb F" first="Fouzi Ahmed" last="Taleb">Fouzi Ahmed Taleb</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation></author><author><name sortKey="Tahraoui, Hicham" sort="Tahraoui, Hicham" uniqKey="Tahraoui H" first="Hicham" last="Tahraoui">Hicham Tahraoui</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation></author><author><name sortKey="Abi Ayad, Chakib" sort="Abi Ayad, Chakib" uniqKey="Abi Ayad C" first="Chakib" last="Abi-Ayad">Chakib Abi-Ayad</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria</nlm:aff><country xml:lang="fr">Algérie</country><wicri:regionArea>Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen</wicri:regionArea><wicri:noRegion>Tlemcen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Surgery</title><idno type="ISSN">2090-6900</idno><idno type="eISSN">2090-6919</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Steward-Treves syndrome is a cutaneous angiosarcoma that usually appears after long evolution of a lymphoedema after mastectomy for mammary neoplasia associated with an axillary dissection. This is a rare disease develop most of the time in upper arm and often confounded with cutaneous metastasis. Only the biopsy and immunohistochemical study confirm the diagnosis. The treatment is surgical and consists of large cutaneous excision, an amputation of the limb or even its disarticulation and will be followed by chemotherapy. Despite the treatment, the prognosis remains severe with poor survival. We report the case of a patient who had a Steward-Treves syndrome 20 years after lymphoedema following a left mastectomy with axillary dissection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Stewart, F W" uniqKey="Stewart F">F. W. Stewart</name></author><author><name sortKey="Treves, N" uniqKey="Treves N">N. Treves</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cozen, W" uniqKey="Cozen W">W. Cozen</name></author><author><name sortKey="Bernstein, L" uniqKey="Bernstein L">L. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Surg</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Surg</journal-id><journal-id journal-id-type="publisher-id">CRIS</journal-id><journal-title-group><journal-title>Case Reports in Surgery</journal-title></journal-title-group><issn pub-type="ppub">2090-6900</issn><issn pub-type="epub">2090-6919</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28280645</article-id><article-id pub-id-type="pmc">5322458</article-id><article-id pub-id-type="doi">10.1155/2017/4056459</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Stewart-Treves Syndrome Involving Chronic Lymphedema after Mastectomy of Breast Cancer</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7248-5743</contrib-id><name><surname>Mesli</surname><given-names>Smain Nabil</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-1491-8395</contrib-id><name><surname>Ghouali</surname><given-names>Amin Khayreddine</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Benamara</surname><given-names>Fouad</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Taleb</surname><given-names>Fouzi Ahmed</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tahraoui</surname><given-names>Hicham</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Abi-Ayad</surname><given-names>Chakib</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria</aff><aff id="I2"><sup>2</sup>Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria</aff><author-notes><corresp id="cor1">*Smain Nabil Mesli: <email>smesli@hotmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Frédéric Marchal</p></fn></author-notes><pub-date pub-type="ppub"><year>2017</year></pub-date><pub-date pub-type="epub"><day>9</day><month>2</month><year>2017</year></pub-date><volume>2017</volume><elocation-id>4056459</elocation-id><history><date date-type="received"><day>4</day><month>12</month><year>2016</year></date><date date-type="accepted"><day>23</day><month>1</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 Smain Nabil Mesli et al.</copyright-statement><copyright-year>2017</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Steward-Treves syndrome is a cutaneous angiosarcoma that usually appears after long evolution of a lymphoedema after mastectomy for mammary neoplasia associated with an axillary dissection. This is a rare disease develop most of the time in upper arm and often confounded with cutaneous metastasis. Only the biopsy and immunohistochemical study confirm the diagnosis. The treatment is surgical and consists of large cutaneous excision, an amputation of the limb or even its disarticulation and will be followed by chemotherapy. Despite the treatment, the prognosis remains severe with poor survival. We report the case of a patient who had a Steward-Treves syndrome 20 years after lymphoedema following a left mastectomy with axillary dissection.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Left arm: mauve color with transitional tracer.</p></caption><graphic xlink:href="CRIS2017-4056459.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Appearance of the indurated nodule at the posterior surface of the upper limb of the left arm.</p></caption><graphic xlink:href="CRIS2017-4056459.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>CT scan of left arm: fluidic collection with heterogeneous rearrangement of the fatty tissue with septa thickened and presence of muscular necrosis.</p></caption><graphic xlink:href="CRIS2017-4056459.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>MRI of the soft parts of the upper left limb objectivating edematous infiltration of the fatty tissue with the presence of nodular formation opposite the brachial artery.</p></caption><graphic xlink:href="CRIS2017-4056459.004"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Algérie</li></country></list><tree><country name="Algérie"><noRegion><name sortKey="Mesli, Smain Nabil" sort="Mesli, Smain Nabil" uniqKey="Mesli S" first="Smain Nabil" last="Mesli">Smain Nabil Mesli</name></noRegion><name sortKey="Abi Ayad, Chakib" sort="Abi Ayad, Chakib" uniqKey="Abi Ayad C" first="Chakib" last="Abi-Ayad">Chakib Abi-Ayad</name><name sortKey="Abi Ayad, Chakib" sort="Abi Ayad, Chakib" uniqKey="Abi Ayad C" first="Chakib" last="Abi-Ayad">Chakib Abi-Ayad</name><name sortKey="Benamara, Fouad" sort="Benamara, Fouad" uniqKey="Benamara F" first="Fouad" last="Benamara">Fouad Benamara</name><name sortKey="Benamara, Fouad" sort="Benamara, Fouad" uniqKey="Benamara F" first="Fouad" last="Benamara">Fouad Benamara</name><name sortKey="Ghouali, Amin Khayreddine" sort="Ghouali, Amin Khayreddine" uniqKey="Ghouali A" first="Amin Khayreddine" last="Ghouali">Amin Khayreddine Ghouali</name><name sortKey="Ghouali, Amin Khayreddine" sort="Ghouali, Amin Khayreddine" uniqKey="Ghouali A" first="Amin Khayreddine" last="Ghouali">Amin Khayreddine Ghouali</name><name sortKey="Mesli, Smain Nabil" sort="Mesli, Smain Nabil" uniqKey="Mesli S" first="Smain Nabil" last="Mesli">Smain Nabil Mesli</name><name sortKey="Tahraoui, Hicham" sort="Tahraoui, Hicham" uniqKey="Tahraoui H" first="Hicham" last="Tahraoui">Hicham Tahraoui</name><name sortKey="Tahraoui, Hicham" sort="Tahraoui, Hicham" uniqKey="Tahraoui H" first="Hicham" last="Tahraoui">Hicham Tahraoui</name><name sortKey="Taleb, Fouzi Ahmed" sort="Taleb, Fouzi Ahmed" uniqKey="Taleb F" first="Fouzi Ahmed" last="Taleb">Fouzi Ahmed Taleb</name><name sortKey="Taleb, Fouzi Ahmed" sort="Taleb, Fouzi Ahmed" uniqKey="Taleb F" first="Fouzi Ahmed" last="Taleb">Fouzi Ahmed Taleb</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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