[Lymphangiosarcoma following mastectomy: review of the literature apropos of 2 recent cases of Stewart-Treves syndrome].

Abstract

Two cases of lymphangiosarcomas which arose 4 and 14 years after a mastectomy are reported (Stewart-Treves syndrome). One of the patients was treated by shoulder disarticulation and the other by chemotherapy (using Melphalan, Cyclophosphamide and 5-fluorouracil). Disseminated metastases and deaths occurred 6 and 18 months after the onset of the lesion. Stewart-Treves syndrome occurs in approximately 0.07 to 0.45% of mastectomy. Prognosis is worse: survival at five year is fewer than 10%. Early diagnosis is mandatory. Surgical resection of the lesions and adjunctive chemotherapy seem the best treatment.

• Authors: J O Defraigne, B Detroz, J Dubois
• Journal: Acta chirurgica Belgica (Acta Chir Belg) 1989 Jan-Feb Vol. 89 Issue 1 Pg. 29-33 ISSN: 0001-5458 [Print] England
• Vernacular Title: Le lymphangiosarcome après mastectomie: revue de la littérature à propos de 2 nouveaux cas de syndrome de Stewart-Treves.
• PMID: 2655358 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Aged
• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Arm
• Disarticulation
• Female
• Humans
• Lymphedema (complications, etiology)
• Lymphoma, Non-Hodgkin (drug therapy, etiology, surgery)
• Mastectomy, Radical (adverse effects)
• Soft Tissue Neoplasms (drug therapy, etiology, surgery)
• Syndrome