[Stewart-Treves syndrome: report of one case].
Identifieur interne : 002B16 ( PubMed/Curation ); précédent : 002B15; suivant : 002B17[Stewart-Treves syndrome: report of one case].
Auteurs : Ricardo Silvari O [Uruguay] ; Valentina Mérola ; Luis Fígoli ; Cecilia Romero ; Jimena Lapiedra ; Juan AlonsoSource :
- Revista medica de Chile [ 0034-9887 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème, Membre inférieur.
- secondaire : Lymphangiosarcome, Tumeurs du poumon.
- Adulte, Humains, Issue fatale, Mâle.
English descriptors
- KwdEn :
- MESH :
- pathology : Lower Extremity, Lymphedema.
- secondary : Lung Neoplasms, Lymphangiosarcoma.
- Adult, Fatal Outcome, Humans, Male.
Abstract
Angiosarcomas are malignant tumors derived from the endothelium of blood vessel (hemangiosarcomas) or lymph vessels (lymphangiosarcomas). Lymph edema of the limbs is considered secondary when extrinsic injuries are observed and primary when these injuries are not present. Stewart-Treves syndrome or a Lymphangiosarcoma, developed over a chronic lymph edema, is a rare complication described in mastectomized patients but it can be observed in lymph edemas located elsewhere. It appears as nodular skin lesions that grow, multiply quickly and frequently metastasize. We report a 40-year-old mole with an angiosarcoma associated with primary chronic lower limb lymph edema. The patient consulted for a history of weight loss and malaise and appearance of violaceous lesions over the zone of lymph edema and inguinal lymph node involvement. A CT scan showed bilateral lung lesions and enlargement of inguinal and iliac lymph nodes. A biopsy of one of the skin lesions disclosed an angiosarcoma, diagnosis that was confirmed with immuno-histochemistry Chemotherapy was started but the patient died five months after the diagnosis.
DOI: /S0034-98872010000100010
PubMed: 20361154
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<author><name sortKey="Silvari O, Ricardo" sort="Silvari O, Ricardo" uniqKey="Silvari O R" first="Ricardo" last="Silvari O">Ricardo Silvari O</name>
<affiliation wicri:level="1"><nlm:affiliation>Departamento Clínico de Medicina, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay. rsilvarino@gmail.com</nlm:affiliation>
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<author><name sortKey="Merola, Valentina" sort="Merola, Valentina" uniqKey="Merola V" first="Valentina" last="Mérola">Valentina Mérola</name>
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<author><name sortKey="Figoli, Luis" sort="Figoli, Luis" uniqKey="Figoli L" first="Luis" last="Fígoli">Luis Fígoli</name>
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<author><name sortKey="Romero, Cecilia" sort="Romero, Cecilia" uniqKey="Romero C" first="Cecilia" last="Romero">Cecilia Romero</name>
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<author><name sortKey="Lapiedra, Jimena" sort="Lapiedra, Jimena" uniqKey="Lapiedra J" first="Jimena" last="Lapiedra">Jimena Lapiedra</name>
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<author><name sortKey="Silvari O, Ricardo" sort="Silvari O, Ricardo" uniqKey="Silvari O R" first="Ricardo" last="Silvari O">Ricardo Silvari O</name>
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<term>Lower Extremity (pathology)</term>
<term>Lung Neoplasms (secondary)</term>
<term>Lymphangiosarcoma (secondary)</term>
<term>Lymphedema (pathology)</term>
<term>Male</term>
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<term>Humains</term>
<term>Issue fatale</term>
<term>Lymphangiosarcome (secondaire)</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Membre inférieur (anatomopathologie)</term>
<term>Mâle</term>
<term>Tumeurs du poumon (secondaire)</term>
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<term>Membre inférieur</term>
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<term>Lymphedema</term>
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<term>Lymphangiosarcoma</term>
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<term>Fatal Outcome</term>
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<front><div type="abstract" xml:lang="en">Angiosarcomas are malignant tumors derived from the endothelium of blood vessel (hemangiosarcomas) or lymph vessels (lymphangiosarcomas). Lymph edema of the limbs is considered secondary when extrinsic injuries are observed and primary when these injuries are not present. Stewart-Treves syndrome or a Lymphangiosarcoma, developed over a chronic lymph edema, is a rare complication described in mastectomized patients but it can be observed in lymph edemas located elsewhere. It appears as nodular skin lesions that grow, multiply quickly and frequently metastasize. We report a 40-year-old mole with an angiosarcoma associated with primary chronic lower limb lymph edema. The patient consulted for a history of weight loss and malaise and appearance of violaceous lesions over the zone of lymph edema and inguinal lymph node involvement. A CT scan showed bilateral lung lesions and enlargement of inguinal and iliac lymph nodes. A biopsy of one of the skin lesions disclosed an angiosarcoma, diagnosis that was confirmed with immuno-histochemistry Chemotherapy was started but the patient died five months after the diagnosis.</div>
</front>
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