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Lymphangiosarcoma in Postmastectomy Lymphedema (Stewart-Treves Syndrome). Presented by Dr. Charles R. Rein, Dr. Max Jessner and (by invitation) Dr. Frederick G. Zak.
A. N., aged 54, had a radical mastectomy for adenocarcinoma of the left breast in 1942, followed by roentgen ray and radium treatment. Shortly after the operation there developed edema of the left arm. In April 1949 the patient noticed bluish nodules on the inner aspect of the left arm. An excised lesion was examined histologically and found benign. In September 1949 the patient came under the care of Dr. Rein. At that time she presented, apart from the radiodermatitis of the previously treated area, a number of bluish cutaneous and subcutaneous nodules on the inner aspect of the left arm. The number and size of these nodules increased during the following weeks.Roentgenograms of the chest showed no abnormal observations. Roentgen ray treatment of a small group