Stewart-Treves syndrome following idiopathic leg lymphoedema: remember sarcoma.
J Wound Care
; 24(6 Suppl): S5-7, 2015 Jun.
Article
de En
| MEDLINE
| ID: mdl-26075513
ABSTRACT
Patients with skin complaints secondary to oedema are commonly encountered and can be a diagnostic challenge. Here, we present the case of a 78-year-old lady with Stewart-Treves syndrome, a rare cutaneous angiosarcoma. The histology showed angiocutaneous sarcoma with poorly defined margins. The prognosis remains extremely poor. A successful transfemoral amputation reduced the massive tumour burden and cleared a source of sepsis from this fungating tumour. Our aim is to highlight this rare but high-grade sarcoma which results from chronic lymphoedema. The red flag signs of sarcoma are masses greater than 5 cm, tumours which are rapidly growing, deep to fascia or painful, and tumours that recur after previous surgery. Non-healing or progressive ulceration in the background of chronic lymphoedema should raise the possibility of underlying malignancy. We need a low threshold for biopsy and early referral to an appropriate multidisciplinary team for the optimum management of the patient.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Hémangiosarcome
/
Lymphangiosarcome
/
Lymphoedème
Type d'étude:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Limites:
Aged
/
Female
/
Humans
Langue:
En
Journal:
J Wound Care
Sujet du journal:
ENFERMAGEM
Année:
2015
Type de document:
Article
Pays d'affiliation:
Royaume-Uni