title: Stewart-Treves syndrome and the use of positron emission tomographic scanning.
abstract: In this article, we provide an account of two rare cases of Stewart-Treves syndrome, that is, cutaneous angiosarcoma secondary to lymphedema, treated at our center. Unusually, both occurred in the lower extremity. The first case was treated initially with a wide local excision, followed by a further re-excision, and eventually an above-the-knee amputation because of recurrence. In the second case, a hindquarter amputation was undertaken after a positron emission tomographic scan, which revealed the extent and spread of the lesions. In cases of cutaneous angiosarcoma, a positron emission tomographic scan can be extremely helpful in demonstrating the extent of subcutaneous spread and planning surgical management.
authors.affiliation: Department of Orthopaedic Oncology, Royal Orthopaedic Hospital, Birmingham, West Midlands, UK.
authors.forename: Samir L
authors.initials: SL
authors.lastname: Dawlatly
authors.forename: Asterios
authors.initials: A
authors.lastname: Dramis
authors.forename: Vaiyapuri P
authors.initials: VP
authors.lastname: Sumathi
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Grimer
mesh_terms: D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D001706:Biopsy; D017024:Chemotherapy, Adjuvant; D005260:Female; D006394:Hemangiosarcoma / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery; D006801:Humans; D035002:Lower Extremity; D008197:Lymph Node Excision; D008204:Lymphangiosarcoma / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D049268:Positron-Emission Tomography; D011237:Predictive Value of Tests; D018714:Radiotherapy, Adjuvant; D012086:Reoperation; D012878:Skin Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D016038:Skin Transplantation; D016896:Treatment Outcome