Response to commentary on ‘Angiosarcoma as a Potential Consequence of Autologous Lymph Node Transplantation for Lymphoedema’

Abstract

Authors reported the occurrence of angiosarcoma in a patient with lower limb primary lymphoedema. Two ALNT were practiced 7 and 14 years before angiosarcoma onset. Angiosarcoma may occur in patient with primary lymphoedema.1Laskas J.J. Shelley W.B. Wood M.G. Lymphangiosarcoma arising in congenital lymphedema.Arch Dermatol. 1975; 111: 86-89Crossref PubMed Scopus (23) Google Scholar, 2Offori T.W. Platt C.C. Stephens M. Hopkinson G.B. Angiosarcoma in congenital hereditary lymphoedema (Milroy's disease)-diagnostic beacons and a review of the literature.Clin Exp Dermatol. 1993; 18: 174-177Crossref PubMed Scopus (41) Google Scholar, 3Dürr H.R. Pellengahr C. Nerlich A. Baur A. Maier M. Jansson V. Stewart-Treves syndrome as a rare complication of a hereditary lymphedema.Vasa. 2004; 33: 42-45Crossref PubMed Scopus (17) Google Scholar It is possible that angiosarcoma is fortuitous and not related to previous ALNT. Angiosarcoma as a Potential Consequence of Autologous Lymph Node Transplantation for LymphoedemaEuropean Journal of Vascular and Endovascular SurgeryVol. 45Issue 5PreviewWith high interest have we read the article by Vignes et al., recording complications (lymphoedema, lymphocoele, hydrocoele and donor-site pain) in patients undergoing autologous lymph node transplantation (ALNT) for limb lymphoedema.1 In addition, we recently witnessed a fatal case of angiosarcoma in a 21-year-old woman. We were amazed by the unusual presentation of this aggressive tumour in such a young otherwise healthy woman, located in the right groin exactly at the site of ALNT performed 14 and 7 years before. Full-Text PDF Open Archive