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Case Reports
. 2015 Dec 7;7(4):693.
doi: 10.2484/rcr.v7i4.693. eCollection 2012.

Stewart-Treves syndrome

Roy Gottlieb, Rukhsana Serang, David Chi, Harry Menco
Case Reports

Stewart-Treves syndrome

Roy Gottlieb et al. Radiol Case Rep. .

Abstract

Stewart-Treves syndrome is a rare cutaneous angiosarcoma with a poor prognosis. Physicians must be aware of this lethal syndrome, especially in patients who have been treated for breast cancer with radiation and lymph-node dissection (such as the case reported here). Patients who develop unexplained enlarging plaques of coalescing purple papules should have immediate biopsy for early diagnosis of Stewart-Treves syndrome. MRI, along with PET/CT, can help evaluate the extent of disease and help with treatment strategies.

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Figures

Figure 1
Figure 1
70-year-old female with Stewart-Treves syndrome. Photograph of the left arm demonstrates an area of violaceous skin with surrounding satellite lesions.
Figure 2
Figure 2
70-year-old female with Stewart-Treves syndrome. A: T1-weighted image. B: STIR image demonstrating edema-like signal in the subcutaneous tissues of the arm (arrows).
Figure 3
Figure 3
70-year-old female with Stewart-Treves syndrome. Axial PET (A) and CT images(B) demonstrate a hypemetabolic region along the posterior left arm with marked subcutaneous edema and skin thickening on CT (white arrows).
See this image and copyright information in PMC

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