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ANGIOSARCOMA IN POSTMASTECTOMY LYMPHEDEMA (STEWART-TREVES SYNDROME)

ANGIOSARCOMA IN POSTMASTECTOMY LYMPHEDEMA (STEWART-TREVES SYNDROME) Abstract The SYNDROME characterized by the appearance of cutaneous lymphangiosarcoma in the ipsilateral arm, years after radical mastectomy for carcinoma, has been described by Stewart and Treves.1 We had occasion to see a patient with this until recently unknown disorder. REPORT OF A CASE A. N., a 54-year-old, white, single woman, a patient of Dr. H. Wadro, had a radical mastectomy in 1942 for carcinoma of the left breast, with axillary node involvement, followed by extensive x-ray treatment and, several months later, by radium therapy to the axilla. Edema of the left arm developed shortly after the operation but regressed to about 50% in recent years. It was most conspicuous above the left elbow, where the arm measured 11½ in. (29 cm.) as compared with 8 in. (20.3 cm.) above the right elbow. In April, 1949, the patient noticed bluish, firm, raised nodules on the inner aspect of References 1. Stewart, F. W., and Treves, N.: Lymphangiosarcoma in Postmastectomy Lymphedema: A Report of 6 Cases in Elephantiasis Chirurgica , Cancer 1:64-81, 1948.Crossref 2. Dr. D. Yuter, the patient's private physician, and Dr. R. E. Palmer, both of Alexandria, Va., supplied the follow-up data. The latter performed the autopsy. 3. Ferraro, L. R.: Lymphangiosarcoma in Postmastectomy Lymphedema: A Case Report , Cancer 3:511-514, 1950.Crossref 4. Stout, A. P.: Personal communication to the authors 5. Fraser, W. A.: Personal communication to the authors 6. Daland, E. M.: Prevention of Swollen Arm After Mastectomy , New England J. Med. 242:497-502, 1950.Crossref 7. Toolan, H. W., and Kidd, J. G.: Sarcomatoid Growths Resulting from Mammary Carcinoma Cells That Had Sojourned in Immune Mice , Federation Proc. 9:346, 1950. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology & Syphilology American Medical Association

ANGIOSARCOMA IN POSTMASTECTOMY LYMPHEDEMA (STEWART-TREVES SYNDROME)

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-5979
DOI
10.1001/archderm.1952.01530210002001
Publisher site
See Article on Publisher Site

Abstract

Abstract The SYNDROME characterized by the appearance of cutaneous lymphangiosarcoma in the ipsilateral arm, years after radical mastectomy for carcinoma, has been described by Stewart and Treves.1 We had occasion to see a patient with this until recently unknown disorder. REPORT OF A CASE A. N., a 54-year-old, white, single woman, a patient of Dr. H. Wadro, had a radical mastectomy in 1942 for carcinoma of the left breast, with axillary node involvement, followed by extensive x-ray treatment and, several months later, by radium therapy to the axilla. Edema of the left arm developed shortly after the operation but regressed to about 50% in recent years. It was most conspicuous above the left elbow, where the arm measured 11½ in. (29 cm.) as compared with 8 in. (20.3 cm.) above the right elbow. In April, 1949, the patient noticed bluish, firm, raised nodules on the inner aspect of References 1. Stewart, F. W., and Treves, N.: Lymphangiosarcoma in Postmastectomy Lymphedema: A Report of 6 Cases in Elephantiasis Chirurgica , Cancer 1:64-81, 1948.Crossref 2. Dr. D. Yuter, the patient's private physician, and Dr. R. E. Palmer, both of Alexandria, Va., supplied the follow-up data. The latter performed the autopsy. 3. Ferraro, L. R.: Lymphangiosarcoma in Postmastectomy Lymphedema: A Case Report , Cancer 3:511-514, 1950.Crossref 4. Stout, A. P.: Personal communication to the authors 5. Fraser, W. A.: Personal communication to the authors 6. Daland, E. M.: Prevention of Swollen Arm After Mastectomy , New England J. Med. 242:497-502, 1950.Crossref 7. Toolan, H. W., and Kidd, J. G.: Sarcomatoid Growths Resulting from Mammary Carcinoma Cells That Had Sojourned in Immune Mice , Federation Proc. 9:346, 1950.

Journal

A.M.A. Archives of Dermatology & SyphilologyAmerican Medical Association

Published: Feb 1, 1952

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