Pereira Elisangela Samartin Pegas, Moraes Elisa Trino de, Siqueira Daniela Melo, Santos Marcel Alex Soares dos
Pontifícia Universidade Católica de Campinas, Campinas, SP, BR.
An Bras Dermatol. 2015 May-Jun;90(3 Suppl 1):229-31. doi: 10.1590/abd1806-4841.20153685.
Stewart-Treves Syndrome is characterized by the presence of lymphangiosarcoma on limb extremities. Rare, it occurs in 0.5% of patients who have undergone radical mastectomy with axillary node dissection. The main cause is chronic lymphedema with endothelial and lymphatic differentiation, with no direct relationship to breast cancer. Seven years after a radical right-side mastectomy with lymph node dissection and adjuvant therapy, the patient developed a lesion on her right arm. The dermatological examination revealed an erythematous nodule with bleeding surface on chronic right forearm lymphedema. After the biopsy, a lymphangiosarcoma on chronic lymphedema was diagnosed. Infrequent, this syndrome is relevant because of its associated mortality. Early diagnosis is important to improve survival and reduce complications.
斯图尔特-特里夫斯综合征的特征是四肢出现淋巴管肉瘤。这种病很罕见,在接受过根治性乳房切除术并腋窝淋巴结清扫术的患者中发生率为0.5%。主要病因是伴有内皮和淋巴分化的慢性淋巴水肿,与乳腺癌无直接关系。在右侧根治性乳房切除术、淋巴结清扫术及辅助治疗7年后,患者右臂出现一处病变。皮肤科检查发现慢性右前臂淋巴水肿处有一个表面出血的红斑结节。活检后,诊断为慢性淋巴水肿伴发的淋巴管肉瘤。这种综合征虽不常见,但因其相关死亡率而值得关注。早期诊断对于提高生存率和减少并发症很重要。