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Lymphangiosarcoma of Stewart-Treves


European Journal of Dermatology. Volume 8, Number 7, 527-8, October - November 1998, Votre diagnostic ?

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Author(s) : Sylvette DEVOLDER, François BREUILLARD, Sophie GROSS

Summary : A 61-year-old woman was hospitalized for an acute bacterial cellulitis of the left lower limb. She had bilateral lymphoedema of lower limbs which had followed the treatment of a vulvar carcinoma ten years earlier, by vulvectomy, lymph node dissection and radiotherapy. Physical examination disclosed numerous violaceous hemorragic nodules on the left calf, extending up to the groin (Fig. 1). Treatment with intravenous penicillin G brought quick improvement of the cellulitis. A biopsy specimen was taken from a nodule (Fig. 2). What is your diagnosis?

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