A 69-year-old-woman developed a lymphangiosarcoma of the limb on chronic lymphedema after radical mastectomy and radiotherapy for primary breast cancer 12 years before. Since 1948, when Stewart and Treves described this entity, 200 cases have been described. We report this case because of its extremely rare frequency. Concepts of etiology, treatment and prognosis are reviewed.
DefraigneJ.O., DetrozB., DuboisJ.: Lymphangiosarcoma following mastectomy: Review of literature a propose of recent cases of Stewart-Treves syndrome. Acta Chir. Belg., 89: 29–33, 1989.
EidekenS., RussoD., KnechtJ., ParryL.A., ThompsonR.: Angiosarcoma after tylectomy and radiation therapy for carcinoma of the breast. Cancer, 70: 644–647, 1992.
5.
GreglA., PavicS., SchauerA., WilkeC., ZinnH.: Stewart-Treves syndrome of the edematous arm following breast cancer operation. Z. Lymphol., 12: 66–83, 1988.
6.
KiricutaI.C., DämmrichJ.: Lymphangiosarcoma of arm after chronic lymphedema: a rare long term complication after radical mastectomy in breast cancer patients. Strahlenther. Onkol., 169: 291–295, 1993.
7.
StewartF.W., TrevesN.: Lymphangiosarcoma in postmastectomy lymphedema: a report of six cases in elephantiasis chirurgica. Cancer, 1: 64–81, 1948.
8.
TaghianA., De VathaireF., TerrierP., LeM., AuguierA., MouriesseH., GrimaudE., SarrazinD., TubianaM.: Long-term risk of sarcoma following radiation for breast cancer. Int. J. Radiat. Oncol., Phys., 21: 361–367, 1991.
9.
WijnmaalenA., Van OojenB., Van GeelB.N., Henzen-LogmansS.C., Treurniet-DonkerA.D.: Angiosarcoma of the breast following lumpectomy, axillary lymph node dissection, and radiotherapy for primary breast cancer: three case reports and a review of the literature. Int. J. Radiat. Oncol., Biol. Phys., 26: 135–139, 1993.
ZucaliR., MersonM., PlacucciM., Di PalmaS., VeronesiU.: Soft tissue sarcoma of the breast after conservative surgery and irradiation for early mammary cancer. Radiother. Oncol., 30: 271–273, 1994.