McKeown D G, Boland P J
Memorial Sloan-Kettering Cancer Center, 1,275 York Avenue, Suite A342, New York, NY 10065, USA.
Ann R Coll Surg Engl. 2013 Jul;95(5):e80-2. doi: 10.1308/003588413X13629960046110.
We present a case of chronic lymphoedema that progressed to Stewart-Treves syndrome in a 63-year-old woman with a previous modified radical mastectomy, associated lymph node dissection, chemotherapy and radiotherapy. While producing stabilisation of most cutaneous lesions initially, chemotherapeutic treatment of the angiosarcoma did not prevent subsequent metastasis and patient death. We urge vigilance and regular follow-up appointments for patients following a mastectomy with chronic lymphoedema to facilitate prevention or early treatment of this devastating syndrome.
我们报告了一例慢性淋巴水肿进展为Stewart-Treves综合征的病例,患者为一名63岁女性,曾接受改良根治性乳房切除术、相关淋巴结清扫术、化疗和放疗。虽然血管肉瘤的化疗最初使大多数皮肤病变稳定,但并未阻止随后的转移和患者死亡。我们敦促对乳房切除术后伴有慢性淋巴水肿的患者保持警惕并定期随访,以便预防或早期治疗这种毁灭性综合征。