MRI of angiosarcoma associated with chronic lymphoedema: Stewart Treves syndrome.
Cutaneous angiosarcoma is a rare complication of a chronic lymphedematous extremity (Stewart-Treves syndrome). Early recognition of these aggressive tumours is important, as they have a high incidence of local recurrence and metastasis. This report describes the MRI appearance of Stewart-Treves syndrome in a patient with a background of lumpectomy, axillary node dissection and radiotherapy for breast carcinoma. MRI revealed a lobulated cutaneous mass of intermediate signal on T(1) weighted imaging, and low signal on T(2) weighted imaging, with diffuse enhancement following contrast.
Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
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Chopra
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Ors
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Bergin
D001132:Arm; D001943:Breast Neoplasms / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects; D008204:Lymphangiosarcoma / Q000175:diagnosis* / Q000209:etiology; D008209:Lymphedema / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000209:etiology; D013577:Syndrome