Kirova Y M, Feuilhade F, Calitchi E, Otmezguine Y, Le Bourgeois J P
Department of Cancerology, Henri Mondor University Hospital, Creteil, France.
Breast. 1999 Oct;8(5):282-4. doi: 10.1054/brst.1999.0056.
This study reviews 3 cases of angiosarcoma of the upper extremity after mastectomy and radiotherapy for breast cancer (Stewart-Treves syndrome). Angiosarcoma was diagnosed an average 14 years (from 6.5 to 26 years) after treatment for breast cancer. Presenting signs included a red raised lesion, a palpable mass, a blister appearance (in one case). Two of our three patients underwent surgical treatment: one patient underwent local excision followed by chemotherapy, and the other patient wide excision, followed by external beam radiotherapy. Local recurrence occurred in one of these two patients and was followed by the development of lung metastases. The second patient who had treatment is free of disease without problems. The third patient refused any treatment and died 5 months later. The purpose of this article is to add to the literature 3 new cases of Stewart-Treves syndrome and to discuss some specific problems of this rare tumour.
本研究回顾了3例乳腺癌乳房切除术后接受放疗后发生的上肢血管肉瘤（斯图尔特-特雷维斯综合征）病例。血管肉瘤在乳腺癌治疗后平均14年（6.5至26年）被诊断出来。临床表现包括红色隆起病变、可触及肿块、水疱样外观（1例）。我们的3例患者中有2例接受了手术治疗：1例患者先进行局部切除，然后接受化疗，另1例患者进行广泛切除，随后接受外照射放疗。这2例患者中有1例发生局部复发，随后出现肺转移。接受治疗的第2例患者目前无病，无任何问题。第3例患者拒绝任何治疗，5个月后死亡。本文的目的是在文献中增加3例新的斯图尔特-特雷维斯综合征病例，并讨论这种罕见肿瘤的一些具体问题。
