Shavit Eran, Alavi Afsaneh, Limacher James J, Sibbald R Gary
Division of Dermatology, Department of Medicine, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
SAGE Open Med Case Rep. 2018 Oct 30;6:2050313X18796343. doi: 10.1177/2050313X18796343. eCollection 2018.
Chronic lymphedema is rarely complicated by an angiosarcoma. Angiosarcoma superimposed on chronic lymphedema (Stewart-Treves syndrome) is usually seen post breast cancer surgery accompanied by lymph node resection of the axilla. This is a case report of a 59-year-old male patient with elephantiasis that developed an angiosarcoma of the lower leg. He died a month after the diagnostic biopsy was obtained. This is a rare multifocal tumor in a male with an unusual lower leg location. We reviewed the literature and the need to differentiate this often deadly lesion from a Kaposi's sarcoma.
慢性淋巴水肿很少并发血管肉瘤。叠加在慢性淋巴水肿上的血管肉瘤（斯图尔特-特里夫斯综合征）通常见于乳腺癌手术后伴有腋窝淋巴结切除的患者。本文报告一例59岁男性患者，患有象皮肿，并发小腿血管肉瘤。在获得诊断性活检一个月后患者死亡。这是一例罕见的多灶性肿瘤，发生在男性患者的小腿这一不寻常部位。我们回顾了文献，并强调需要将这种往往致命的病变与卡波西肉瘤相鉴别。
