Key result
Wide local excision and free anterolateral thigh flap reconstruction manages recurrent amputation-site lymphangiosarcoma.
Why the study?
Lymphangiosarcoma (Stewart-Treves syndrome) is a rare, aggressive malignancy with poor prognosis and high recurrence risk, presenting notable surgical challenges.
Case Report (n=1)
This case report highlights the surgical challenges and management strategy for recurrent lymphangiosarcoma (Stewart-Treves syndrome) using wide local excision and free flap reconstruction.
Answers are grounded in this paper and cite their sources.
Should not change practice based on one case; leaves open feasibility of free flap reconstruction in recurrent Stewart-Treves syndrome.
Lymphangiosarcoma, or Stewart-Treves syndrome, is a rare and aggressive malignancy. It is associated with poor prognosis due to its high risk of recurrence and metastasis. This case report highlights the surgical challenges faced in managing lymphangiosarcoma.We present a case of a woman in her 60s who underwent modified radical mastectomy and adjuvant therapy for breast carcinoma. She developed lymphangiosarcoma of the upper limb and underwent limb disarticulation. 6 months later, she presented with recurrent angiosarcoma at the amputation site. A wide local excision was performed, followed by reconstruction with a free anterolateral thigh flap.
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Rao et al. (2025) conducted a case report in Stewart-Treves Syndrome / recurrent lymphangiosarcoma (n=1). Wide local excision and reconstruction with a free anterolateral thigh flap was evaluated. A woman in her 60s with recurrent lymphangiosarcoma at an amputation site was managed with wide local excision and reconstruction using a free anterolateral thigh flap.
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