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2007 | 79 | 10 | 663-666
Tytuł artykułu

Stewart-Treves Syndrome - A Rare Complication of Lymphedema

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Stewart-Treves syndrome is the development of angiosarcoma in chronically lymphedematous upper extremities following a mastectomy. This is a very rare entity that occurs in 0.07-0.2% of patients treated for breast cancer. The tumor occurs in a median time ranging from 10 to 17 years after mastectomy and is associated with poor prognosis. An aggressive clinical course and metastatic tendency results in a fatal outcome for most patients within two years of diagnosis. The 5-year survival rate does not exceed 15%. A surgical procedure is the treatment of choice. It is generally recommended to perform limb amputation because of the difficulties in macroscopically defining the tumor margins. Radiotherapy and chemotherapy can be of benefit when excision of the primary or recurrent tumor is impossible or when the patient does not consent to the surgical procedure. We present the only case of Stewart-Treves syndrome among 4908 patients treated for breast cancer in our Department from 1977 to 2005.
Wydawca
Rocznik
Tom
79
Numer
10
Strony
663-666
Opis fizyczny
Daty
wydano
2007-10-01
online
2008-02-11
Twórcy
autor
  • Department of Oncological Surgery, Medical University, Łódź
  • Department of Oncological Surgery, Medical University, Łódź
  • Department of Oncological Surgery, Medical University, Łódź
Bibliografia
  • Roy P, Clark MA, Thomas JM: Stewart-Treves syndrome- treatment and outcome in six patients from a single centre. Eur J Surg Oncol 2004; 30: 982-86.[PubMed]
  • Janse AJ, van Coevorden F, Peterse H, et al.: Lymphedema-induced lymphangiosarcoma. Eur J Surg Oncol 1995; 21: 155-58.[PubMed][Crossref]
  • Ruocco V, Schwartz RA, Ruocco E: Lymphedema: an immunologically vulnerable site for development of neoplasms. J Am Acad Dermatol 2002; 47: 124-27.[PubMed][Crossref]
  • Petrek JA, Heelan MC: Incidence of breast carcinoma-related lymphedema. Cancer 1998; 83: 2776-81.[Crossref][PubMed]
  • Fitzpatrick PJ: Lymphangiosarcoma in breast cancer. Can J Surg 1969; 12: 172-77.[PubMed]
  • Yap B-S, Yap H-Y, McBride CM, et al.: Chemotherapy for postmastectomy lymphangiosarcoma. Cancer 1981; 47: 853-56.[PubMed][Crossref]
  • Cozen W, Bernstein L, Wang F, et al.: The risk of angiosarcoma following primary breast cancer. Br J Cancer 1999; 81: 532-36.[Crossref][PubMed]
  • Tomita K, Yokogawa A, Oda Y, et al.: Lymphangiosarcoma in postmastectomy lymphedema (Stewart-Treves syndrome): ultrastructural and immunohistologic characteristics. J Surg Oncol 1988; 38: 275-82.[Crossref][PubMed]
  • McWilliam LJ, Harris M: Histogenesis of postmastectomy angiosarcoma - an ultrastructural study. Histopathology 1985; 9: 331-43.[Crossref]
  • Kindblom LG, Stenman G, Angervall L: Morphological and cytogenetic studies of angiosarcoma in Stewart-Treves syndrome. Virchows Arch A Pathol Anat Histopathol 1991; 419: 439-45.
  • Schreiber H, Barry FM, Russell WC, et al.: Stewart-Treves syndrome. A lethal complication of postmastectomy lymphedema and regional immune deficiency. Arch Surg 1979; 114: 82-85.[PubMed][Crossref]
  • Grobmyer SR, Daly JM, Glotzbach RE, et al.: Role of surgery in the management of postmastectomy extremity angiosarcoma (Stewart-Treves syndrome). J Surg Oncol 2000; 73: 182-88.[Crossref][PubMed]
  • Chung KC, Kim HJE, Jeffers LLC: Lymphangiosarcoma (Stewart-Treves syndrome) in postmastectomy patients. J Hand Surg 2000; 25A: 1163-68.[Crossref]
  • Stewart NJ, Pritchard DJ, Nascimento AG, et al.: Lymphangiosarcoma following mastectomy. Clin Orthop Relat Res 1995; 320: 135-41.[PubMed]
  • Heitmann C, Ingianni G: Stewart-Treves syndrome: lymphangiosarcoma following mastectomy. Ann Plast Surg 2000; 44: 72-75.[PubMed][Crossref]
  • Sordillo PP, Chapman R, Hajdu SI, et al.: Lymphangiosarcoma. Cancer 1981; 48: 1674-79.[Crossref][PubMed]
  • Meis-Kindblom JM, Kindblom LG: Angiosarcoma of soft tissue. A study of 80 cases. Am J Surg Pathol 1998; 22: 683-97.
  • Orchard GE, Zelger B, Jones EW, et al.: An immunocytochemical assessment of 19 cases of cutaneous angiosarcoma. Histopathology 1996; 28: 235-40.[PubMed][Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-007-0103-x
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