Rodríguez-Bujaldón Alfonso, Vázquez-Bayo Maria Carmen, Galán-Gutiérrez Manolo, Jiménez-Puya Rafael, Vélez García-Nieto Antonio, Moreno-Giménez José Carlos, Vidal-Jiménez Alfredo, Barroso-Casamitjana Elisa
Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España.
Actas Dermosifiliogr. 2006 Oct;97(8):525-8. doi: 10.1016/s0001-7310(06)73456-1.
Angiosarcoma that develops on a limb with chronic lymphedema is called Stewart-Treves syndrome. This typically appears as a complication of a long course lymphedema located on the arm, after mastectomy and/or radiotherapy due to breast cancer. There are cases of Stewart-Treves syndrome in chronic lymphedema in the upper limb contralateral to the breast treated for cancer and in chronic lymphedema of the leg. We present two cases of this syndrome. The first corresponds to a typical syndrome of Stewart-Treves in an 83-year-old woman who was diagnosed of angiosarcoma in a chronic lymphedema territory secondary to mastectomy and radiotherapy due to breast cancer. The second case is much rarer, since it is a case of diffuse angiosarcoma of the leg in a 42-year-old man with a history of lymphedema. Due to the aggressive nature of this syndrome, knowledge and research on its treatment are necessary.
发生于慢性淋巴水肿肢体的血管肉瘤称为斯图尔特-特里夫斯综合征。这通常表现为乳腺癌乳房切除术后和/或放疗后,手臂长期淋巴水肿的一种并发症。在接受癌症治疗的患侧乳房对侧上肢的慢性淋巴水肿以及腿部慢性淋巴水肿中也存在斯图尔特-特里夫斯综合征病例。我们报告两例该综合征病例。第一例是一名83岁女性的典型斯图尔特-特里夫斯综合征,她在因乳腺癌进行乳房切除术后放疗继发的慢性淋巴水肿区域被诊断为血管肉瘤。第二例则更为罕见,是一名42岁有淋巴水肿病史男性的腿部弥漫性血管肉瘤病例。由于该综合征具有侵袭性,有必要对其治疗进行了解和研究。