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Case Reports in Surgery
Volume 2017 (2017), Article ID 4056459, 4 pages
https://doi.org/10.1155/2017/4056459
Case Report

Stewart-Treves Syndrome Involving Chronic Lymphedema after Mastectomy of Breast Cancer

1Department of General Surgery “A”, Dr. Tidjani Damerdji University Hospital of Tlemcen, Tlemcen, Algeria
2Experimental Surgery Laboratory N°38, Medical School of Tlemcen, University of Abou Bekr Belkaid, Tlemcen, Algeria

Correspondence should be addressed to Smain Nabil Mesli

Received 4 December 2016; Accepted 23 January 2017; Published 9 February 2017

Academic Editor: Frédéric Marchal

Copyright © 2017 Smain Nabil Mesli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.