Mesli Smain Nabil, Ghouali Amin Khayreddine, Benamara Fouad, Taleb Fouzi Ahmed, Tahraoui Hicham, Abi-Ayad Chakib
Department of General Surgery "A", Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria; Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria.
Case Rep Surg. 2017;2017:4056459. doi: 10.1155/2017/4056459. Epub 2017 Feb 9.
Steward-Treves syndrome is a cutaneous angiosarcoma that usually appears after long evolution of a lymphoedema after mastectomy for mammary neoplasia associated with an axillary dissection. This is a rare disease develop most of the time in upper arm and often confounded with cutaneous metastasis. Only the biopsy and immunohistochemical study confirm the diagnosis. The treatment is surgical and consists of large cutaneous excision, an amputation of the limb or even its disarticulation and will be followed by chemotherapy. Despite the treatment, the prognosis remains severe with poor survival. We report the case of a patient who had a Steward-Treves syndrome 20 years after lymphoedema following a left mastectomy with axillary dissection.
斯图尔特-特里夫斯综合征是一种皮肤血管肉瘤，通常在因乳腺肿瘤行乳房切除并腋窝清扫术后长期淋巴水肿演变后出现。这是一种罕见疾病，大多发生在上臂，常与皮肤转移相混淆。只有活检和免疫组化研究才能确诊。治疗方法为手术，包括广泛的皮肤切除、肢体截肢甚至关节离断术，术后还需进行化疗。尽管进行了治疗，预后仍然很差，生存率低。我们报告一例患者，在左侧乳房切除并腋窝清扫术后发生淋巴水肿20年后出现斯图尔特-特里夫斯综合征。
