Marina S.1 , Lozanova P.1 , Broshtilova V.1 , Drenovska K.1 1 University Hospital “Alexandrovska”, Sofi a, Bulgaria 2 , Лозанова П.1 , Броштилова Т.1 Казандиева И.1 1 Ternopil State Medical University, Ternopil, Ukraine Марина С.1 , Serafi mova D.1 , Nikolov V.2 , Kazandjieva J.1 , Дреновска К.1 , Серафимова Д.1 Университетская больница «Александровска», София, Болгария 2 Тернопольский государственный медицинский университет, Тернополь, Украина Steward – Treves Syndrome in a male patient Синдром Стюарта – Тревеса у лиц мужского пола ______________________ Abstract __________________________________________________________________________ Lymphangiosarcoma is an uncommon vascular tumor that usually develops in chronic lymphedema. <...> The early diagnosis of this aggressive tumor is important, as it has a high risk of local recurrence and metastasis. <...> The mean age at appearance of the angiosarcoma is 62 years, and the mean interval between mastectomy and the appearance of the tumour is 10.5 years. <...> Only two cases have been reported in men following mastectomy. <...> The patient underwent mastectomy of the right mammary gland with ipsilateral axillary lymph node dissection and had post-operative chemo- and radiotherapy. 120 , Николов В.2 , Практикующему врачу CASE REPORT A 70-year old Caucasian male patient underwent mastectomy and axillary lymph node dissection on the right side for breast carcinoma. <...> He developed chronic lymphedema of the ipsilateral upper limb few months after the treatment. <...> Three and a half years later the patient presented with a massive edema of the right upper limb and multiple easy-bleeding cutaneous nodules. <...> We considered a wide diff erential diagnosis which included: Angioedema, Angioendotheliomatosis, Angiolymhoid hyperplasia cum eosinophilia, Kaposi sarcoma, Lymphangiectasia, Lymphangioma, Lymphocytoma cutis, Melanoma malignum, Metastasis cutis. <...> By defi nition is a malignant vascular tumor, arising from lymphatic endothelium in association usually with lymphedema provoked by radical mastectomy due to therapy for breast cancer. <...> The syndrome was fi rst described in 1906 by Lowenstein, who reported a case of angiosarcoma in a chronic posttraumatic lymphedema [3]. <...> Only two cases have been reported in men following mastectomy [5]. <...> Stewart – Treves syndrome occurs in 0.03 <...>