Angiosarcoma of the Descending Aorta, Diagnostic Difficulties

Anthonissen, N.; Menting, Theo P; Morshuis, Wim J.

doi:10.1016/j.ejvssr.2016.04.002

Cited by 13 publications

(15 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Primary malignant aortic sarcoma is extremely rare, with only 140 cases reported 1 . In 1873, Brodowski documented the first case of aortic sarcoma.…”

Section: Discussionmentioning

confidence: 99%

“…There is no well-established management for aortic sarcomas. Complete surgical resection of the tumor and surrounding tissues may prolong survival 11 ; however, in the majority of reported cases, aortic sarcomas were unexpected diagnoses resulting in insufficient resection of the diseased aortic lesions and adjacent tissue 1, 2, 3, 6, 11, 12, 13. These facts also highlight the difficulty in making a preoperative diagnosis of aortic sarcoma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Aortic sarcoma mimicking a mycotic aneurysm in the thoracoabdominal aorta

Shimogawara

Ono

Kobayashi

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

Aortic sarcoma is a rare primary tumor with dismal prognosis. Here, we report a case involving a 74-year-old female patient with aortic sarcoma masquerading as a mycotic aneurysm in the thoracoabdominal aorta. She underwent aortic resection with Dacron prosthetic graft replacement because of rapid growth. The postoperative pathological findings of the resected specimen confirmed the diagnosis of aortic mural sarcoma, which was an unexpected result based on repeat computed tomography angiography performed within 2 months preoperatively. The preoperative diagnosis of aortic sarcoma is often difficult because of its rarity, and this case demonstrates some of the diagnostic pitfalls.

show abstract

“…Primary malignant aortic sarcoma is extremely rare, with only 140 cases reported 1 . In 1873, Brodowski documented the first case of aortic sarcoma.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Aortic sarcoma mimicking a mycotic aneurysm in the thoracoabdominal aorta

Shimogawara

Ono

Kobayashi

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

show abstract

“…Primary angiosarcoma is an extremely rare neoplasm, and there are only approximately 140 previously reported cases. 2) Aortic sarcoma comprises of two subtypes, namely intimal-type and mural-type. 4) Intimal sarcoma originates from the intima of the aortic wall, and frequently presents with thromboembolic events, whereas mural sarcoma originates from the media or adventitia, and may cause local invasion.…”

Section: Discussionmentioning

confidence: 99%

“…Primary angiosarcoma is an extremely rare tumor with a poor prognosis, and its preoperative diagnosis is difficult. 1,2) Surgical therapy is an option, involving either en bloc resection (EBR) with graft interposition or endarterectomy of the diseased part. 3) However, owing to fewer reported cases, the optimal strategy for the treatment of primary angiosarcoma remains controversial.…”

Section: Introductionmentioning

confidence: 99%

Surgical Therapy for Angiosarcoma of the Aorta: A Case Report

Koshima¹,

Hashimoto²,

Doi³

et al. 2019

Annals of Vascular Diseases

View full text Add to dashboard Cite

We describe the case of a 71-year-old woman presenting with abdominal angina with an intra-aortic mass at the thoracoabdominal aorta that restricted blood supply to the organs. Initially, the intra-aortic mass was suspected to be a mural thrombus; thus, endarterectomy was performed. However, postoperative histopathological examination revealed an intimal sarcoma, which relapsed locally within a few months. Additional en bloc resection of the aorta with graft interposition was performed. Despite surgical therapy, splenic metastasis was detected a few months after the second surgery; therefore, palliative care was selected for the patient.

show abstract

“…Intimal angiosarcomas have endovascular growth; they might cause occlusive signs and symptoms, secondary to embolic phenomena [ 2 ]. Usually, diagnosis is confirmed after surgical resection [ 3 ]. We present the case of a 75-year-old former tobacco smoker who was diagnosed as having an intimal angiosarcoma by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) with rapid on-site examination (ROSE).…”

Section: Introductionmentioning

confidence: 99%

Intimal angiosarcoma of the thoracic aorta diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration: a case report

2020

View full text Add to dashboard Cite

Background Primary malignant tumors of the aorta are extremely rare. They are frequently located in the abdominal aorta, followed by the thoracic aorta. Sarcomas are the most common histological type. These tumors originate from the middle or intimal layer, the latter being the most common. Symptoms and radiological findings are generally nonspecific. Since their growth is endovascular, embolic phenomena can occur leading to occlusive signs and symptoms. Case presentation We describe the case of a 75-year-old Hispanic man, a former tobacco smoker, with a history of pain and epigastric tenderness, dysphagia, and weight loss of approximately 6 kg. A thorax computed tomography scan showed a mass within the posterior mediastinum with poorly defined borders and heterogeneous density, located between thoracic vertebra 5–8, with a size of 78 × 53 × 76 mm, with left main bronchus compression. Endobronchial ultrasound-guided transbronchial needle aspiration was performed; it found an extrinsic posterior compression of the left main bronchus with no endobronchial injury. An intimal angiosarcoma of the thoracic aorta was diagnosed. Conclusion Tumors of the aorta are rare and difficult to diagnose; they are a challenge during the diagnosis, since they usually require open surgical procedures. Endobronchial ultrasound-guided transbronchial needle aspiration associated with rapid on-site examination offered, in this case, the possibility of a successful diagnosis, avoiding major procedures. This is the first case reported in the literature of an intimal angiosarcoma of the thoracic aorta diagnosed using endobronchial ultrasound-guided transbronchial needle aspiration.

show abstract

Angiosarcoma of the Descending Aorta, Diagnostic Difficulties

Cited by 13 publications

References 6 publications

Aortic sarcoma mimicking a mycotic aneurysm in the thoracoabdominal aorta

Aortic sarcoma mimicking a mycotic aneurysm in the thoracoabdominal aorta

Surgical Therapy for Angiosarcoma of the Aorta: A Case Report

Intimal angiosarcoma of the thoracic aorta diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration: a case report

Contact Info

Product

Resources

About