Aortic Epithelioid Angiosarcoma after Endovascular Aneurysm Repair

Milite, Domenico; Pilon, Fabio; Ferrari, Alessandra; Danieli, Daniela; Desole, Alessandro

doi:10.1016/j.avsg.2016.02.014

Cited by 24 publications

(24 citation statements)

References 19 publications

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“…Angiosarcoma may mimic an infected aneurysm or mural thrombus [12,13]. It is sometimes diagnosed after open or endovascular repair of abdominal aortic aneurysm (AAA) that presents as an atypical growing mass [14,15]. Clinical suspicion of primary aortic angiosarcoma is most important for early diagnosis and proper surgical treatment, especially in cases of atypical rapid growth of an AAA with a thrombotic mass.…”

Section: Various Roles Of Vascular Surgeons During Cancer Surgerymentioning

confidence: 99%

Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery

Han

Ahn

Min

2019

VSI

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For the modern practice of cancer surgery, the concept of oncovascular surgery (OVS), defined as cancer resection with concurrent ligation or reconstruction of a major vascular structure, can be very important. OVS for advanced cancers requires specialized procedures performed by a specialized multidisciplinary team. Roles of oncovascular surgeons are summarized as: a primary surgeon in vesselorigin tumors, a rescue surgeon treating complications during cancer surgery, and a consultant surgeon as a multidisciplinary team for cancer surgery. Vascular surgeons must show leadership in cancer surgery in cases of complex advanced diseases, such as angiosarcoma, leiomyosarcoma, intravenous leiomyomatosis, retroperitoneal soft tissue sarcoma, iatrogenic injury of the major vessels during cancer surgery, pancreatic cancer with vascular invasion, extremity soft tissue sarcoma, melanoma and others.

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Section: Various Roles Of Vascular Surgeons During Cancer Surgerymentioning

confidence: 99%

Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery

Han

Ahn

Min

2019

VSI

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“…With respect to aortic endografts, some investigators have suggested an association between endograft infection and subsequent malignancy, although this remains speculative. 13,[17][18][19][20] While causality cannot be proven, other authors, like in our case, testify that malignancy was not seen at the time of surgical graft implantation and was not seen on pre-operative imaging at the time of endograft implantation. Furthermore, as in this case, the malignancy arises in the aortic wall adjacent to the graft.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 44%

Challenges in diagnosing aortic leiomyosarcoma post endovascular repair of abdominal aortic aneurysm

Sultan

Mustafa

Bennani

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…R0 resection is recommended at initial resection to improve overall survival rate in patients with angiosarcoma. However, more than 50% of patients with primary angiosarcoma have metastasis at the time of presentation which is why the 5-year survival is so poor 1, 2. The National Comprehensive Cancer Network guidelines address angiosarcoma indirectly within the broader category of sarcoma treatment 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Even rarer are those diagnosed in the setting of an endovascular aortic aneurysm repair (EVAR). Soft tissue sarcomas represent less than 1% of all cancer types and angiosarcomas compose 1% to 2% of those soft tissue sarcomas 1 . A poor prognosis is thus affected by the rarity of diagnosis, an insidious presentation, and progression of disease with metastatic potential.…”

mentioning

confidence: 99%

Angiosarcoma of the abdominal aorta after endovascular aneurysm repair

Aplin

Reed

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Primary aortic sarcoma is a rare diagnosis that carries a poor prognosis. This case report features a 68-year-old man, treated 4 years earlier with an endovascular aortic aneurysm repair, who presented with fever, low back discomfort, and abdominal pain. Given the concern for an infected endograft, the patient underwent explantation and replacement with a cadaveric aortoiliac cryograft. Ultimately, the pathology returned as an angiosarcoma. Although endovascular aortic aneurysm repair is the gold standard for abdominal aortic aneurysm repair in patients with suitable anatomy, there are trade-offs associated with less invasive approaches compared with open approaches.

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Aortic Epithelioid Angiosarcoma after Endovascular Aneurysm Repair

Cited by 24 publications

References 19 publications

Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery

Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery

Challenges in diagnosing aortic leiomyosarcoma post endovascular repair of abdominal aortic aneurysm

Angiosarcoma of the abdominal aorta after endovascular aneurysm repair

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