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Lymphangiosarcoma: Is Stewart-Treves Syndrome a Preventable Condition?

Identifieur interne : 000B34 ( PubMed/Corpus ); précédent : 000B33; suivant : 000B35

Lymphangiosarcoma: Is Stewart-Treves Syndrome a Preventable Condition?

Auteurs : Gunther Felmerer ; A S Dowlatshahi ; G Bjoern Stark ; Ethelka Földi ; Martha Földi ; Maria G. Ahls ; Philipp Ströbel ; Thiha Aung

Source :

RBID : pubmed:26584023

English descriptors

Abstract

Stewart-Treves syndrome is a rare complication of breast cancer treatment, representing a lymphangiosarcoma commonly associated with lymphedema and severely impacting patient's outcome. The tumor typically develops in the atrophic, pachydermatous, hyperkeratotic skin of limbs affected by long-standing lymphedema. Clinical data associated with Stewart-Treves syndrome and lymphedema management have rarely been published.

DOI: 10.1089/lrb.2015.0006
PubMed: 26584023

Links to Exploration step

pubmed:26584023

Le document en format XML

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<title xml:lang="en">Lymphangiosarcoma: Is Stewart-Treves Syndrome a Preventable Condition?</title>
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<nlm:affiliation>1 Division of Plastic Surgery, Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medical Centre , Göttingen, Germany .</nlm:affiliation>
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<name sortKey="Dowlatshahi, A S" sort="Dowlatshahi, A S" uniqKey="Dowlatshahi A" first="A S" last="Dowlatshahi">A S Dowlatshahi</name>
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<nlm:affiliation>2 Division of Plastic Surgery, University of Massachusetts Medical School , Worcester, Massachusetts.</nlm:affiliation>
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<name sortKey="Stark, G Bjoern" sort="Stark, G Bjoern" uniqKey="Stark G" first="G Bjoern" last="Stark">G Bjoern Stark</name>
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<nlm:affiliation>3 Department of Plastic and Hand Surgery, University of Freiburg Medical Center , Freiburg, Germany .</nlm:affiliation>
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<name sortKey="Foldi, Ethelka" sort="Foldi, Ethelka" uniqKey="Foldi E" first="Ethelka" last="Földi">Ethelka Földi</name>
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<nlm:affiliation>4 Lymphologische Fachklinik , Földiklinik, Hinterzarten, Germany, Competence Network for Lymphology, Freiburg-Hinterzarten, Germany .</nlm:affiliation>
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<name sortKey="Foldi, Martha" sort="Foldi, Martha" uniqKey="Foldi M" first="Martha" last="Földi">Martha Földi</name>
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<nlm:affiliation>4 Lymphologische Fachklinik , Földiklinik, Hinterzarten, Germany, Competence Network for Lymphology, Freiburg-Hinterzarten, Germany .</nlm:affiliation>
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<name sortKey="Ahls, Maria G" sort="Ahls, Maria G" uniqKey="Ahls M" first="Maria G" last="Ahls">Maria G. Ahls</name>
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<name sortKey="Dowlatshahi, A S" sort="Dowlatshahi, A S" uniqKey="Dowlatshahi A" first="A S" last="Dowlatshahi">A S Dowlatshahi</name>
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<nlm:affiliation>2 Division of Plastic Surgery, University of Massachusetts Medical School , Worcester, Massachusetts.</nlm:affiliation>
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<name sortKey="Stark, G Bjoern" sort="Stark, G Bjoern" uniqKey="Stark G" first="G Bjoern" last="Stark">G Bjoern Stark</name>
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<nlm:affiliation>3 Department of Plastic and Hand Surgery, University of Freiburg Medical Center , Freiburg, Germany .</nlm:affiliation>
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<name sortKey="Foldi, Ethelka" sort="Foldi, Ethelka" uniqKey="Foldi E" first="Ethelka" last="Földi">Ethelka Földi</name>
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<nlm:affiliation>4 Lymphologische Fachklinik , Földiklinik, Hinterzarten, Germany, Competence Network for Lymphology, Freiburg-Hinterzarten, Germany .</nlm:affiliation>
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<name sortKey="Ahls, Maria G" sort="Ahls, Maria G" uniqKey="Ahls M" first="Maria G" last="Ahls">Maria G. Ahls</name>
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<nlm:affiliation>5 Institute of Pathology, University Medical Centre , Göttingen, Germany .</nlm:affiliation>
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<title level="j">Lymphatic research and biology</title>
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<term>Breast Neoplasms (complications)</term>
<term>Female</term>
<term>Hemangiosarcoma (complications)</term>
<term>Hemangiosarcoma (surgery)</term>
<term>Humans</term>
<term>Lymphangiosarcoma (complications)</term>
<term>Lymphangiosarcoma (surgery)</term>
<term>Lymphedema (complications)</term>
<term>Male</term>
<term>Prostatic Neoplasms (complications)</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
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<term>Breast Neoplasms</term>
<term>Hemangiosarcoma</term>
<term>Lymphangiosarcoma</term>
<term>Lymphedema</term>
<term>Prostatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Hemangiosarcoma</term>
<term>Lymphangiosarcoma</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">Stewart-Treves syndrome is a rare complication of breast cancer treatment, representing a lymphangiosarcoma commonly associated with lymphedema and severely impacting patient's outcome. The tumor typically develops in the atrophic, pachydermatous, hyperkeratotic skin of limbs affected by long-standing lymphedema. Clinical data associated with Stewart-Treves syndrome and lymphedema management have rarely been published.</div>
</front>
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<DateCreated>
<Year>2016</Year>
<Month>03</Month>
<Day>17</Day>
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<DateCompleted>
<Year>2016</Year>
<Month>12</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1557-8585</ISSN>
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<Volume>14</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2016</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
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<ArticleTitle>Lymphangiosarcoma: Is Stewart-Treves Syndrome a Preventable Condition?</ArticleTitle>
<Pagination>
<MedlinePgn>35-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2015.0006</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Stewart-Treves syndrome is a rare complication of breast cancer treatment, representing a lymphangiosarcoma commonly associated with lymphedema and severely impacting patient's outcome. The tumor typically develops in the atrophic, pachydermatous, hyperkeratotic skin of limbs affected by long-standing lymphedema. Clinical data associated with Stewart-Treves syndrome and lymphedema management have rarely been published.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">In the period between 1980 and 2009, ten patients with Stewart-Treves syndrome were diagnosed and treated at the Foeldiklinik, Hinterzarten, Germany. Nine of the ten patients were female. Five patients had previously suffered from breast cancer (and were treated with mastectomy); two from other malignancies; two patients had primary lymphedema, and one had undergone lower extremity lymphadenectomy. All cancer patients had undergone radiation treatment. In all cases, the sarcoma developed in non-irradiated areas 6-48 years (average 16.3 years) after the onset of lymphedema. None of the patients had received complex decongestive physical therapy (CDT). Two patients had above-elbow amputation, one had shoulder exarticulation, two patients had wide excision and skin grafting, two patients had above-knee amputation procedure, two patients had a below-knee amputation procedure, and one patient had no surgical treatment at all. The time to recurrence after surgery, time to metastasis, patient survival and CDT were recorded.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Patients with lymphedema should be closely examined starting 5 years from the time of lymphedema onset, paying special attention to those with associated malignancies. Only early diagnosis and treatment by radical ablative surgery confers a reasonable prognosis with this rare but aggressive disease. A potential effect of CDT on lymphangiosarcoma has to be studied in a greater patient cohort.</AbstractText>
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