Concomitant pulmonary carcinoma and abdominal aortic aneurysm: Therapeutic strategies

Borzellino, Giuseppe; Giovinazzo, Francesco; Minicozzi, Anna Maria; Dusi, Roberto; Politi, Lucia; Veraldi, Gian Franco

doi:10.1007/s00595-006-3672-0

Cited by 8 publications

(2 citation statements)

References 18 publications

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“…Four of 6 (66.7%) 6 In this report, 1 patient was treated simultaneously for pulmonary carcinoma and AAA and the other 13 patients underwent 2-stage treatment. Lung cancer was operated on first in 7 patients, and treatment of AAA, including aneurysmectomy or EVAR, was performed first in 6 patients.…”

Section: Discussionmentioning

confidence: 68%

Clinico-Pathological Features and Management of Lung Cancer Patients with Atherosclerotic Vascular Diseases

Fukushima

Morodomi

Kyuragi

et al. 2013

ATCS

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Purpose: Increased numbers of patients with both lung cancer and atherosclerotic vascular disease (AVD) may be expected in the future. The aim of this study was to report the incidence of lung cancer in patients with AVD and to discuss patient characteristics and management. Method: A total of 638 patients who underwent AVD treatment were investigated. Results: Lung cancer was observed in 17 (2.7%) of 638 patients studied. The proportion of smoking history was significantly higher in patients with lung cancer (p = 0.0091).The pack-year index in patients with lung cancer was significantly higher than that in patients without lung cancer (p = 0.0073). Although 4 of 6 (66.7%) patients with concomitant lung cancer and AVD had stage I or II lung cancer, 5 of 7 (71.4%) patients with lung cancer diagnosed after AVD treatment had stage III or IV lung cancer. In patients with lung cancer found after AVD treatment, only 1 of 7 patients underwent surgical resections. The time until lung cancer was 12 to 198 months with a mean of 62.5 months after AVD treatment. In concomitant cases, priority was given to AVD treatment in all 5 cases, and there were no serious events after the postoperative course. Conclusions: Both patients with a smoking history and heavy smokers were at high risk for lung cancer, and most lung cancers found after AVD treatment were in the advanced stages and had poor prognoses. Therefore, we recommend careful and routine follow-up for screening lung cancer after AVD treatment. Keywords: AVD, lung cancer, smoking history IntroductionLung cancer is the leading cause of cancer death both in Japan and worldwide, and the incidence of lung cancer increases with age.1 Smoking is the predominant risk factor for the development of lung cancer.2 Moreover, smoking status has been consistently reported to be a statistically significant prognostic factor in patients with lung cancer.3 In addition, smoking and advanced age are conventional risk factors for vascular disease. 4 A recent systematic review of large studies of smoking-related outcomes demonstrated an association between smoking and aortic aneurysm. Purpose: Increased numbers of patients with both lung cancer and atherosclerotic vascular disease (AVD) may be expected in the future. The aim of this study was to report the incidence of lung cancer in patients with AVD and to discuss patient characteristics and management. Method: A total of 638 patients who underwent AVD treatment were investigated. Results: Lung cancer was observed in 17 (2.7%) of 638 patients studied. The proportion of smoking history was significantly higher in patients with lung cancer (p = 0.0091).The pack-year index in patients with lung cancer was significantly higher than that in patients without lung cancer (p = 0.0073). Although 4 of 6 (66.7%) patients with concomitant lung cancer and AVD had stage I or II lung cancer, 5 of 7 (71.4%) patients with lung cancer diagnosed after AVD treatment had stage III or IV lung cancer. In patients with lung cancer found after AVD treatment, only 1...

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Section: Discussionmentioning

confidence: 68%

Clinico-Pathological Features and Management of Lung Cancer Patients with Atherosclerotic Vascular Diseases

Fukushima

Morodomi

Kyuragi

et al. 2013

ATCS

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“…Moreover,Borzellino et al recommended the concomitant endovascular repair of an AAA and surgery for pulmonary carcinoma because of its better outcome 27. In their review, Shalhoub et.…”

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confidence: 97%

Simultaneous total gastrectomy and endovascular repair of an abdominal aortic aneurysm: Report of a case

et al. 2011

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We herein present the case of a 66-year-old man with both gastric cancer and an infrarenal abdominal aneurysm. The patient's medical history included bladder cancer, chronic renal failure, and ischemic heart disease. We performed a simultaneous endovascular aneurysm repair (EVAR) and total gastrectomy. Following the procedure, the patient remained in the intensive care unit for 3 days. Oral feeding was resumed on postoperative day 7, and the patient was discharged from the hospital on postoperative day 13 with no complications. Despite the patient's medical problems and higher operative risk, he tolerated simultaneous EVAR and total gastrectomy, and had a good outcome after undergoing these simultaneous procedures.

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Treatment of abdominal aortic aneurysm associated with colorectal cancer: presentation of 14 cases and literature review

Veraldi

Minicozzi

Leopardi

et al. 2008

Int J Colorectal Dis

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From the analysis of the literature and our experience, it is evident that, when AAA and CRC are coexistent with preoperative diagnosis of both diseases, single-stage intervention, when feasible for patient in general and local conditions, has to be preferred due to the lower morbidity. Single-stage treatment avoids a second surgical and anesthesiologic trauma and eliminates the risks joined with the non-treated lesion, increasing, however, the magnitude of the operation. Endovascular therapy, for its less invasiveness, appears to be an adequate solution for one-stage treatment of the two diseases but its role is still subject of ongoing discussions.

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Concomitant pulmonary carcinoma and abdominal aortic aneurysm: Therapeutic strategies

Cited by 8 publications

References 18 publications

Clinico-Pathological Features and Management of Lung Cancer Patients with Atherosclerotic Vascular Diseases

Clinico-Pathological Features and Management of Lung Cancer Patients with Atherosclerotic Vascular Diseases

Simultaneous total gastrectomy and endovascular repair of an abdominal aortic aneurysm: Report of a case

Treatment of abdominal aortic aneurysm associated with colorectal cancer: presentation of 14 cases and literature review

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