Stewart-Treves syndrome following idiopathic leg lymphoedema: remember sarcoma.
Identifieur interne : 000C63 ( PubMed/Checkpoint ); précédent : 000C62; suivant : 000C64Stewart-Treves syndrome following idiopathic leg lymphoedema: remember sarcoma.
Auteurs : W D Harrison [Royaume-Uni] ; C R Chandrasekar [Royaume-Uni]Source :
- Journal of wound care [ 0969-0700 ] ; 2015.
Descripteurs français
- KwdFr :
- Amputation chirurgicale, Biopsie, Détection précoce de cancer, Femelle, Humains, Hémangiosarcome (), Hémangiosarcome (diagnostic), Hémangiosarcome (étiologie), Jambe, Lymphangiosarcome (), Lymphangiosarcome (diagnostic), Lymphangiosarcome (étiologie), Lymphoedème (), Maladie chronique, Pronostic, Résultat thérapeutique, Sujet âgé.
- MESH :
English descriptors
- KwdEn :
- Aged, Amputation, Biopsy, Chronic Disease, Early Detection of Cancer, Female, Hemangiosarcoma (diagnosis), Hemangiosarcoma (etiology), Hemangiosarcoma (surgery), Humans, Leg, Lymphangiosarcoma (diagnosis), Lymphangiosarcoma (etiology), Lymphangiosarcoma (surgery), Lymphedema (complications), Prognosis, Treatment Outcome.
- MESH :
- complications : Lymphedema.
- diagnosis : Hemangiosarcoma, Lymphangiosarcoma.
- etiology : Hemangiosarcoma, Lymphangiosarcoma.
- surgery : Hemangiosarcoma, Lymphangiosarcoma.
- Aged, Amputation, Biopsy, Chronic Disease, Early Detection of Cancer, Female, Humans, Leg, Prognosis, Treatment Outcome.
Abstract
Patients with skin complaints secondary to oedema are commonly encountered and can be a diagnostic challenge. Here, we present the case of a 78-year-old lady with Stewart-Treves syndrome, a rare cutaneous angiosarcoma. The histology showed angiocutaneous sarcoma with poorly defined margins. The prognosis remains extremely poor. A successful transfemoral amputation reduced the massive tumour burden and cleared a source of sepsis from this fungating tumour. Our aim is to highlight this rare but high-grade sarcoma which results from chronic lymphoedema. The red flag signs of sarcoma are masses greater than 5 cm, tumours which are rapidly growing, deep to fascia or painful, and tumours that recur after previous surgery. Non-healing or progressive ulceration in the background of chronic lymphoedema should raise the possibility of underlying malignancy. We need a low threshold for biopsy and early referral to an appropriate multidisciplinary team for the optimum management of the patient.
DOI: 10.12968/jowc.2015.24.Sup6.S5
PubMed: 26075513
Affiliations:
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xml:lang="fr"><term>Hémangiosarcome</term><term>Lymphangiosarcome</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hemangiosarcoma</term><term>Lymphangiosarcoma</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hemangiosarcoma</term><term>Lymphangiosarcoma</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hémangiosarcome</term><term>Lymphangiosarcome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Amputation</term><term>Biopsy</term><term>Chronic Disease</term><term>Early Detection of Cancer</term><term>Female</term><term>Humans</term><term>Leg</term><term>Prognosis</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Amputation chirurgicale</term><term>Biopsie</term><term>Détection précoce de cancer</term><term>Femelle</term><term>Humains</term><term>Hémangiosarcome</term><term>Jambe</term><term>Lymphangiosarcome</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Pronostic</term><term>Résultat thérapeutique</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with skin complaints secondary to oedema are commonly encountered and can be a diagnostic challenge. Here, we present the case of a 78-year-old lady with Stewart-Treves syndrome, a rare cutaneous angiosarcoma. The histology showed angiocutaneous sarcoma with poorly defined margins. The prognosis remains extremely poor. A successful transfemoral amputation reduced the massive tumour burden and cleared a source of sepsis from this fungating tumour. Our aim is to highlight this rare but high-grade sarcoma which results from chronic lymphoedema. The red flag signs of sarcoma are masses greater than 5 cm, tumours which are rapidly growing, deep to fascia or painful, and tumours that recur after previous surgery. Non-healing or progressive ulceration in the background of chronic lymphoedema should raise the possibility of underlying malignancy. We need a low threshold for biopsy and early referral to an appropriate multidisciplinary team for the optimum management of the patient.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26075513</PMID><DateCreated><Year>2015</Year><Month>06</Month><Day>16</Day></DateCreated><DateCompleted><Year>2015</Year><Month>08</Month><Day>13</Day></DateCompleted><DateRevised><Year>2015</Year><Month>06</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0969-0700</ISSN><JournalIssue CitedMedium="Print"><Volume>24</Volume><Issue>6 Suppl</Issue><PubDate><Year>2015</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of wound care</Title><ISOAbbreviation>J Wound Care</ISOAbbreviation></Journal><ArticleTitle>Stewart-Treves syndrome following idiopathic leg lymphoedema: remember sarcoma.</ArticleTitle><Pagination><MedlinePgn>S5-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.12968/jowc.2015.24.Sup6.S5</ELocationID><Abstract><AbstractText>Patients with skin complaints secondary to oedema are commonly encountered and can be a diagnostic challenge. Here, we present the case of a 78-year-old lady with Stewart-Treves syndrome, a rare cutaneous angiosarcoma. The histology showed angiocutaneous sarcoma with poorly defined margins. The prognosis remains extremely poor. A successful transfemoral amputation reduced the massive tumour burden and cleared a source of sepsis from this fungating tumour. Our aim is to highlight this rare but high-grade sarcoma which results from chronic lymphoedema. The red flag signs of sarcoma are masses greater than 5 cm, tumours which are rapidly growing, deep to fascia or painful, and tumours that recur after previous surgery. Non-healing or progressive ulceration in the background of chronic lymphoedema should raise the possibility of underlying malignancy. We need a low threshold for biopsy and early referral to an appropriate multidisciplinary team for the optimum management of the patient.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Harrison</LastName><ForeName>W D</ForeName><Initials>WD</Initials><AffiliationInfo><Affiliation>Liverpool Sarcoma Unit, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Merseyside, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chandrasekar</LastName><ForeName>C R</ForeName><Initials>CR</Initials><AffiliationInfo><Affiliation>Liverpool Sarcoma Unit, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Merseyside, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Wound Care</MedlineTA><NlmUniqueID>9417080</NlmUniqueID><ISSNLinking>0969-0700</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C537491">Stewart Treves syndrome</SupplMeshName></SupplMeshList><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000671" MajorTopicYN="N">Amputation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001706" MajorTopicYN="N">Biopsy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055088" MajorTopicYN="N">Early Detection of Cancer</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006394" MajorTopicYN="N">Hemangiosarcoma</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008204" MajorTopicYN="N">Lymphangiosarcoma</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Stewart–Treves syndrome</Keyword><Keyword MajorTopicYN="N">lymphoedema</Keyword><Keyword MajorTopicYN="N">sarcoma</Keyword><Keyword MajorTopicYN="N">ulceration</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>6</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>6</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>8</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26075513</ArticleId><ArticleId IdType="doi">10.12968/jowc.2015.24.Sup6.S5</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Harrison, W D" sort="Harrison, W D" uniqKey="Harrison W" first="W D" last="Harrison">W D Harrison</name></noRegion><name sortKey="Chandrasekar, C R" sort="Chandrasekar, C R" uniqKey="Chandrasekar C" first="C R" last="Chandrasekar">C R Chandrasekar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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