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Stewart-Treves Syndrome Associated with False-positive Serological Tests of Syphilis: Possible Relation with the Tissue Coagulation Factors

DOI: 
10.7727/wimj.2015.563

ABSTRACT

Stewart-Treves syndrome (STS) is defined as a  lymphangiosarcoma in a setting of postmastectomy upper  extremity lymphedema. On the other hand, positivity of nontreponemal and treponemal syphilis tests can occur in some healthy conditions and diseases besides syphilis. Here we report a case of chronic lymphedema that progressed to STS in a 68–year old woman with a previous subtotal mastectomy, associated axillar lymph node dissection, chemotherapy and radiotherapy. The patient also had false-positive syphilis tests, and increased tissue coagulation factors  and products. Our report aims to explain the possible relationship between the false-positive syphilis tests and the coagulant factors, and the potential facilitating role of these factors triggering the formation of precipitants and ultimately the development of the malignancy.

Accepted: 
08 Feb, 2016
PDF Attachment: 
e-Published: 23 Mar, 2016

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