[Lymphangiosarcoma following mastectomy: review of the literature apropos of 2 recent cases of Stewart-Treves syndrome].
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.
Defraigne
J O
JO
Service de chirurgie cardio-vasculaire et digestive, Centre Hospitalier Universitaire de Liège, Sart-Tilman.
Detroz
B
B
Dubois
J
J
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001132:Arm; D004188:Disarticulation; D005260:Female; D006801:Humans; D008209:Lymphedema / Q000150:complications* / Q000209:etiology; D008228:Lymphoma, Non-Hodgkin / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D015409:Mastectomy, Radical / Q000009:adverse effects*; D012983:Soft Tissue Neoplasms / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D013577:Syndrome
Le lymphangiosarcome après mastectomie: revue de la littérature à propos de 2 nouveaux cas de syndrome de Stewart-Treves.