Stewart-Treves Syndrome Involving Chronic Lymphedema after Mastectomy of Breast Cancer

Mesli, Samy; Ghouali, A.K.; Benamara, Fouad; Taleb, Fouzi Ahmed; Tahraoui, Hicham; Abi-Ayad, Chakib

doi:10.1155/2017/4056459

Cited by 12 publications

(16 citation statements)

References 20 publications

(21 reference statements)

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“…One predisposing factor which could have led to the development of a secondary malignancy is the chronic inflammation from the persistent sinus tract or upper limb lymphedema. However, what is reported in literature so far have been lymphangiosarcomas such as in the case of Stewart-Treves syndrome [7], and no association with dedifferentiated liposarcoma has been demonstrated before.…”

Section: Discussionmentioning

confidence: 92%

Two Cancers Arising from Different Mesenchymal Origins: An Unexpected Connection over Time and Space

Putri¹,

Lek²,

Shannon³

et al. 2019

CRCM

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Sarcomas are rare tumours, accounting for 1% of all malignancies. They are histologically diverse, presenting with more than 50 different subtypes. Sarcoma can be broadly divided into two categories-soft tissue sarcoma and bone sarcoma. Extraskeletal osteosarcoma is a unique subtype which is histologically similar to bone osteosarcoma but resides within soft tissue and has no attachments to bone. We present a rare case of a patient who initially presented with an extraskeletal osteosarcoma that was complicated by a chronic chest wall sinus and lymphedema of the left arm. He later developed enlarging left chest wall nodules at the same region that were proven to be dedifferentiated liposarcoma on biopsy 20 years later. We examine the occurrence of both extremely rare diseases of differing pathologies over the same site but separated by an extraordinarily long interval, and possible new associations to account for this phenomenon.

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Section: Discussionmentioning

confidence: 92%

Two Cancers Arising from Different Mesenchymal Origins: An Unexpected Connection over Time and Space

Putri¹,

Lek²,

Shannon³

et al. 2019

CRCM

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“…For initial evaluation, 35 articles were selected. When patients were selected for analysis, 29 articles met the criteria of inclusion, within which 44 patients were identified. Three articles presented multiple cases, and their cases were assessed separately.…”

Section: Resultsmentioning

confidence: 99%

“…It is a rare condition, and c‐STS is even more infrequent. The diagnosis is easier in the presence of infiltrative single or multiple nodular hardened areas associated with tumor, plaque, or macula . There is no usual dermatological presentation, as shown in this review.…”

Section: Discussionmentioning

confidence: 99%

“…There are few reports of the aspect of bluish hematoma surrounded by a halo of bruise, or the description of yellowish halo around the lesion, resembling hematoma in resorption . This condition was observed in 33.4% of the cases, and we consider it an important sign. In the present case, this aspect was observed in the arm (Figure B), a fact initially not considered.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis is easier in the presence of infiltrative single or multiple nodular hardened areas associated with tumor, plaque, or macula. 1,2,[7][8][9][10][11][12][13][15][16][17][19][20][21][23][24][25][27][28][29][30][31][32] There is no usual dermatological presentation, as shown in this review. Papules are associated with bullous erysipelas, but the presence of multicolored lesions should raise suspicion.…”

Section: Discussionmentioning

confidence: 99%

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Unsuspected Stewart–Treves syndrome clinically mimicked by apparent bullous erysipelas and a systematic review of dermatological presentations of the classical Stewart–Treves syndrome

et al. 2018

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Background Stewart Treves–Syndrome (STS) was first characterized as angiosarcoma in the homolateral limb of a patient with breast cancer and lymphedema. Now, other conditions represent STS. It's a rare condition. The diagnosis is easier in the presence of single or multiple purple nodules. Even though other dermatological aspects have been reported, no study has grouped its characteristics. Aim Evaluate the dermatological characteristics of classical STS (c‐STS). Methods and Results We report a patient with chronic lymphedema with a history of recurrent erysipelas that rapidly developed multiple papules in the superior limb. It was initially diagnosed as bullous erysipelas, but unsatisfactory evolution led to biopsy, which demonstrated an unsuspected epithelioid angiosarcoma. We have also performed a review of dermatologic aspects of c‐STS using PubMed and Lilacs databases. PICTOS methodology and PRISMA flow chart were considered. The main dermatological aspects associated with c‐CTS were summarized. Using a systematic evaluation from 109 articles, 29 were selected and 44 patients were described to whom we added one case. The mean time with lymphedema was 10 years. Of the patients analyzed, 97.2% were female; 95.6% were submitted to radical mastectomy; 81.2% presented with multiple lesions, 67.4% of the lesions were reported as nodules or tumors, 53.4% were purple, 33.4% were associated with an ecchymotic halo, and 33.4% were ulcerated lesions. Conclusion When evaluating patients with chronic lymphedema with new dermatological abnormalities, clinical suspicion, or unfavorable evolution, the knowledge of clinical signs is important for diagnosis, and a biopsy must be considered. Papules associated with erythematous‐wine color and bluish hematoma aspect must raise clinical suspicion.

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Breast Cancer-Related Lymphedema and Shoulder Impairments: Physical Therapy and Plastic Surgery

Kloer

Massa

Atia

et al. 2021

Common Issues in Breast Cancer Survivors

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Stewart-Treves Syndrome Involving Chronic Lymphedema after Mastectomy of Breast Cancer

Cited by 12 publications

References 20 publications

Two Cancers Arising from Different Mesenchymal Origins: An Unexpected Connection over Time and Space

Two Cancers Arising from Different Mesenchymal Origins: An Unexpected Connection over Time and Space

Unsuspected Stewart–Treves syndrome clinically mimicked by apparent bullous erysipelas and a systematic review of dermatological presentations of the classical Stewart–Treves syndrome

Breast Cancer-Related Lymphedema and Shoulder Impairments: Physical Therapy and Plastic Surgery

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