Stewart–Treves syndrome: a case report
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Auteurs : Anis Benmansour [Maroc] ; Saad Laanaz [Maroc] ; Abdeslam Bougtab [Maroc]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2014.
Abstract
The Stewart-Treves syndrome was first described in 1948, it's an angiosarcoma developed on a longstanding lymphadenomatous limb, more often after radical mastectomy. Diagnosis is made on skin biopsy and the prognosis is poor when radical surgery can't be performed. We report the case on a Stewart-Treves syndrome in a sixty-six years old woman who underwent radical mastectomy for breast carcinoma ten years earlier. Surgery was not feasible at the time of diagnosis, and we lost touch of the patient even if chemotherapy was decided. Radical surgery is the best treatment to date for this rare disease. Conservative surgery with adjuvant radiotherapy is also possible. Systemic chemotherapy is reserved for locally advanced unresectable and metastatic forms. We advocate long term follow-up for every post mastectomy lymphedema to diagnosis this fatal disease when curable.
Url:
DOI: 10.11604/pamj.2014.19.2.4178
PubMed: 25574331
PubMed Central: 4282868
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Diagnosis is made on skin biopsy and the prognosis is poor when radical surgery can't be performed. We report the case on a Stewart-Treves syndrome in a sixty-six years old woman who underwent radical mastectomy for breast carcinoma ten years earlier. Surgery was not feasible at the time of diagnosis, and we lost touch of the patient even if chemotherapy was decided. Radical surgery is the best treatment to date for this rare disease. Conservative surgery with adjuvant radiotherapy is also possible. Systemic chemotherapy is reserved for locally advanced unresectable and metastatic forms. We advocate long term follow-up for every post mastectomy lymphedema to diagnosis this fatal disease when curable.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Stewart, Fw" uniqKey="Stewart F">FW Stewart</name></author><author><name sortKey="Treves, N" uniqKey="Treves N">N Treves</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Laffargue, P" uniqKey="Laffargue P">P Laffargue</name></author><author><name sortKey="Pinet, F" uniqKey="Pinet F">F Pinet</name></author><author><name sortKey="Le Go, R" uniqKey="Le Go R">R Le Go</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olmos, L" uniqKey="Olmos L">L Olmos</name></author><author><name sortKey="Laugier, P" uniqKey="Laugier P">P Laugier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Sb" uniqKey="Lee S">SB Lee</name></author><author><name sortKey="Cho, Bk" uniqKey="Cho B">BK Cho</name></author><author><name sortKey="Houh, W" uniqKey="Houh W">W Houh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Woodward, Ah" uniqKey="Woodward A">AH Woodward</name></author><author><name sortKey="Ivins, Jc" uniqKey="Ivins J">JC Ivins</name></author><author><name sortKey="Soule, Eh" uniqKey="Soule E">EH Soule</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pizzi, M" uniqKey="Pizzi M">M Pizzi</name></author><author><name sortKey="Bensoussan Zini, N" uniqKey="Bensoussan Zini N">N Bensoussan-Zini</name></author><author><name sortKey="Gamby, T" uniqKey="Gamby T">T Gamby</name></author><author><name sortKey="Devaux, J" uniqKey="Devaux J">J Devaux</name></author><author><name sortKey="Belaube, P" uniqKey="Belaube P">P Belaube</name></author><author><name sortKey="Dor, Am" uniqKey="Dor A">AM Dor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ord Ez, Ng" uniqKey="Ord Ez N">NG Ordóñez</name></author><author><name sortKey="Batsakis, Jg" uniqKey="Batsakis J">JG Batsakis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manner, J" uniqKey="Manner J">J Manner</name></author><author><name sortKey="Radlwimmer, B" uniqKey="Radlwimmer B">B Radlwimmer</name></author><author><name sortKey="Hohenberger, P" uniqKey="Hohenberger P">P Hohenberger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sharma, A" uniqKey="Sharma A">A Sharma</name></author><author><name sortKey="Schwartz, Ra" uniqKey="Schwartz R">RA Schwartz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nabeya, R" uniqKey="Nabeya R">R Nabeya</name></author><author><name sortKey="Kobayashi, M" uniqKey="Kobayashi M">M Kobayashi</name></author><author><name sortKey="Fujita, M" uniqKey="Fujita M">M Fujita</name></author><author><name sortKey="Yorituji, K" uniqKey="Yorituji K">K Yorituji</name></author><author><name sortKey="Eguchi, N" uniqKey="Eguchi N">N Eguchi</name></author><author><name sortKey="Okamoto, S" uniqKey="Okamoto S">S Okamoto</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Pan Afr Med J</journal-id><journal-id journal-id-type="iso-abbrev">Pan Afr Med J</journal-id><journal-id journal-id-type="publisher-id">PAMJ</journal-id><journal-title-group><journal-title>The Pan African Medical Journal</journal-title></journal-title-group><issn pub-type="epub">1937-8688</issn><publisher><publisher-name>The African Field Epidemiology Network</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25574331</article-id><article-id pub-id-type="pmc">4282868</article-id><article-id pub-id-type="publisher-id">PAMJ-19-2</article-id><article-id pub-id-type="doi">10.11604/pamj.2014.19.2.4178</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: a case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Benmansour</surname><given-names>Anis</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="corresp" rid="cor1">&</xref></contrib><contrib contrib-type="author"><name><surname>Laanaz</surname><given-names>Saad</given-names></name><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Bougtab</surname><given-names>Abdeslam</given-names></name><xref ref-type="aff" rid="AF0001">1</xref></contrib></contrib-group><aff id="AF0001"><label>1</label>Department of Surgical Oncology, National Institute of Oncology, Rabat, Morocco</aff><aff id="AF0002"><label>2</label>Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco</aff><author-notes><corresp id="cor1"><label>&</label>Corresponding author: Anis Benmansour, Department of Surgical Oncology, National Institute of Oncology, Rabat, Morocco</corresp></author-notes><pub-date pub-type="epub"><day>01</day><month>9</month><year>2014</year></pub-date><pub-date pub-type="collection"><year>2014</year></pub-date><volume>19</volume><elocation-id>2</elocation-id><history><date date-type="received"><day>13</day><month>3</month><year>2014</year></date><date date-type="accepted"><day>10</day><month>4</month><year>2014</year></date></history><permissions><copyright-statement>© Anis Benmansour et al.</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p>The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of 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>The Stewart-Treves syndrome was first described in 1948, it's an angiosarcoma developed on a longstanding lymphadenomatous limb, more often after radical mastectomy. Diagnosis is made on skin biopsy and the prognosis is poor when radical surgery can't be performed. We report the case on a Stewart-Treves syndrome in a sixty-six years old woman who underwent radical mastectomy for breast carcinoma ten years earlier. Surgery was not feasible at the time of diagnosis, and we lost touch of the patient even if chemotherapy was decided. Radical surgery is the best treatment to date for this rare disease. Conservative surgery with adjuvant radiotherapy is also possible. Systemic chemotherapy is reserved for locally advanced unresectable and metastatic forms. We advocate long term follow-up for every post mastectomy lymphedema to diagnosis this fatal disease when curable.</p></abstract><kwd-group><kwd>Stewart–Treves</kwd><kwd>syndrome</kwd><kwd>angiosarcoma</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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