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Role of surgery in the management of postmastectomy extremity angiosarcoma (Stewart-Treves syndrome).

Identifieur interne : 004A97 ( PubMed/Corpus ); précédent : 004A96; suivant : 004A98

Role of surgery in the management of postmastectomy extremity angiosarcoma (Stewart-Treves syndrome).

Auteurs : S R Grobmyer ; J M Daly ; R E Glotzbach ; A J Grobmyer

Source :

Journal of surgical oncology [ 0022-4790 ] ; 2000.

RBID : pubmed:10738275

English descriptors

KwdEn :
- Aged, Amputation (statistics & numerical data), Arm, Combined Modality Therapy, Female, Hemangiosarcoma (mortality), Hemangiosarcoma (surgery), Hemangiosarcoma (therapy), Humans, Lymphedema (surgery), Mastectomy, Postoperative Period, Skin Neoplasms (mortality), Skin Neoplasms (surgery), Skin Neoplasms (therapy), Survival Analysis.
MESH :
- mortality : Hemangiosarcoma, Skin Neoplasms.
- statistics & numerical data : Amputation.
- surgery : Hemangiosarcoma, Lymphedema, Skin Neoplasms.
- therapy : Hemangiosarcoma, Skin Neoplasms.
- Aged, Arm, Combined Modality Therapy, Female, Humans, Mastectomy, Postoperative Period, Survival Analysis.

Abstract

Stewart-Treves syndrome (STS) is the rare occurrence of angiosarcoma in a setting of postmastectomy upper extremity lymphedema. A collective comparison of outcomes following various initial treatment options in STS has not previously been reported. We reviewed 160 cases of STS reported in the literature since 1966. We analyzed the relationship between initial treatment and survival in all 92 of these patients for whom detailed treatment and outcome data had been reported. There was no significant difference in survival comparing those initially treated with wide excision (n = 16) and those treated with amputation (n = 45) (P = 0.40). Even in the setting of initial surgical treatment, overall long-term survival was poor (<40%). There have been even fewer long-term survivors among those treated initially with regional chemotherapy (n = 7) or radiation therapy (n = 24). An update on STS and a discussion of recent advances in the understanding of its molecular pathogenesis that may result in future treatment improvements are presented.

PubMed: 10738275

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pubmed:10738275

Le document en format XML

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<author><name sortKey="Grobmyer, S R" sort="Grobmyer, S R" uniqKey="Grobmyer S" first="S R" last="Grobmyer">S R Grobmyer</name>
<affiliation><nlm:affiliation>Department of Surgery, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York, USA. srgrob@ix.netcom.com</nlm:affiliation>
</affiliation>
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<author><name sortKey="Daly, J M" sort="Daly, J M" uniqKey="Daly J" first="J M" last="Daly">J M Daly</name>
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<author><name sortKey="Glotzbach, R E" sort="Glotzbach, R E" uniqKey="Glotzbach R" first="R E" last="Glotzbach">R E Glotzbach</name>
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<author><name sortKey="Grobmyer, A J" sort="Grobmyer, A J" uniqKey="Grobmyer A" first="A J" last="Grobmyer">A J Grobmyer</name>
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<author><name sortKey="Daly, J M" sort="Daly, J M" uniqKey="Daly J" first="J M" last="Daly">J M Daly</name>
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<author><name sortKey="Glotzbach, R E" sort="Glotzbach, R E" uniqKey="Glotzbach R" first="R E" last="Glotzbach">R E Glotzbach</name>
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<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Hemangiosarcoma (mortality)</term>
<term>Hemangiosarcoma (surgery)</term>
<term>Hemangiosarcoma (therapy)</term>
<term>Humans</term>
<term>Lymphedema (surgery)</term>
<term>Mastectomy</term>
<term>Postoperative Period</term>
<term>Skin Neoplasms (mortality)</term>
<term>Skin Neoplasms (surgery)</term>
<term>Skin Neoplasms (therapy)</term>
<term>Survival Analysis</term>
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<term>Lymphedema</term>
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<term>Combined Modality Therapy</term>
<term>Female</term>
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<front><div type="abstract" xml:lang="en">Stewart-Treves syndrome (STS) is the rare occurrence of angiosarcoma in a setting of postmastectomy upper extremity lymphedema. A collective comparison of outcomes following various initial treatment options in STS has not previously been reported. We reviewed 160 cases of STS reported in the literature since 1966. We analyzed the relationship between initial treatment and survival in all 92 of these patients for whom detailed treatment and outcome data had been reported. There was no significant difference in survival comparing those initially treated with wide excision (n = 16) and those treated with amputation (n = 45) (P = 0.40). Even in the setting of initial surgical treatment, overall long-term survival was poor (<40%). There have been even fewer long-term survivors among those treated initially with regional chemotherapy (n = 7) or radiation therapy (n = 24). An update on STS and a discussion of recent advances in the understanding of its molecular pathogenesis that may result in future treatment improvements are presented.</div>
</front>
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<DateCreated><Year>2000</Year>
<Month>04</Month>
<Day>18</Day>
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<DateCompleted><Year>2000</Year>
<Month>04</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2005</Year>
<Month>11</Month>
<Day>16</Day>
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<JournalIssue CitedMedium="Print"><Volume>73</Volume>
<Issue>3</Issue>
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<Title>Journal of surgical oncology</Title>
<ISOAbbreviation>J Surg Oncol</ISOAbbreviation>
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<ArticleTitle>Role of surgery in the management of postmastectomy extremity angiosarcoma (Stewart-Treves syndrome).</ArticleTitle>
<Pagination><MedlinePgn>182-8</MedlinePgn>
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<Abstract><AbstractText>Stewart-Treves syndrome (STS) is the rare occurrence of angiosarcoma in a setting of postmastectomy upper extremity lymphedema. A collective comparison of outcomes following various initial treatment options in STS has not previously been reported. We reviewed 160 cases of STS reported in the literature since 1966. We analyzed the relationship between initial treatment and survival in all 92 of these patients for whom detailed treatment and outcome data had been reported. There was no significant difference in survival comparing those initially treated with wide excision (n = 16) and those treated with amputation (n = 45) (P = 0.40). Even in the setting of initial surgical treatment, overall long-term survival was poor (<40%). There have been even fewer long-term survivors among those treated initially with regional chemotherapy (n = 7) or radiation therapy (n = 24). An update on STS and a discussion of recent advances in the understanding of its molecular pathogenesis that may result in future treatment improvements are presented.</AbstractText>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008408" MajorTopicYN="Y">Mastectomy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011184" MajorTopicYN="N">Postoperative Period</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012878" MajorTopicYN="N">Skin Neoplasms</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
</MeshHeading>
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<NumberOfReferences>79</NumberOfReferences>
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Role of surgery in the management of postmastectomy extremity angiosarcoma (Stewart-Treves syndrome).

Role of surgery in the management of postmastectomy extremity angiosarcoma (Stewart-Treves syndrome).

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki