Intimal Sarcoma of Aortic Arch Treated with Proton Therapy following Surgery

Ishigami, Naoyuki; Suzuki, Kazunao; Takahashi, Tsuyoshi; Neyatani, Hiroshi; Bashar, Abul Hasan Muhammad; Kazui, Teruhisa

doi:10.1177/021849230801600225

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…Carotid, aortic and pulmonary artery sarcomas (PAS) mimicking other pathologies such as vascular occlusive disease, aneurysms and pulmonary emboli are described in case reports [2][3][4][5][6][7][8][9][10][11][12]. Our patient represents a similar clinical scenario.…”

Section: Discussionmentioning

confidence: 62%

“…The former are more aggressive with plaque formation along the aorta or polypoid growth into the lumen, causing vessel occlusion and distal embolization. Mural sarcomas are less aggressive with invasion of surrounding structures [3,6,11].…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis may be incidental after surgical intervention such as pulmonary thrombolectomy [10] and aneurysm repair [6]. The management of malignant intraarterial disease involves a combination of resection or debulking, chemotherapy and radiotherapy [7,14].…”

Section: Discussionmentioning

confidence: 99%

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Intra-aortic metastases or intra-arterial thrombus?

Lomax¹,

Yap²,

Khasraw³

2013

IJCRI

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Introduction: Intraarterial malignancies are difficult to diagnose as they mimic other more common pathologies such as pulmonary embolus and vascular occlusive disease. Appropriate treatment may, therefore, be delayed. Case Report: We report a case of an occluded carotid artery and aortic mucosal thickening with a peduculated thrombus occurring in a patient with metastatic sarcomatoid carcinoma while anticoagulated. Conclusion: Diagnosis requires various imaging modalities and a consideration of an alternative diagnosis if not responding to initial therapy.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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Intra-aortic metastases or intra-arterial thrombus?

Lomax¹,

Yap²,

Khasraw³

2013

IJCRI

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“…In the absence of distant metastasis, radical surgical resection and graft interposition is the optimal treatment scenario. Although chemotherapy or radiation therapy can be utilized in advanced or metastatic conditions, there is little evidence of therapeutic benefit from chemotherapy or radiation therapy [5]. PAS in our case was diagnosed at a later stage; therefore, we were probably could not save our patient.…”

Section: Discussionmentioning

confidence: 85%

Concealed primary aortic sarcoma induced hypertensive encephalopathy resulting from a thoracic aortic occlusion: a case report

Choi¹,

Yoon²,

Jang

et al. 2013

J Cardiothorac Surg

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Primary aortic sarcoma is a rare condition that is frequently associated with distal embolization. In addition, growth characteristics of primary aortic sarcoma lead to the narrowing of the involved aortic lumen. A 72-year-old Korean male with primary aortic sarcoma showed progressive unexplained blood pressure elevation that didn’t improve with additional antihypertensive drug therapy. Because follow-up measures were not taken, the patient ultimately developed hypertensive encephalopathy with concurrent embolic dissemination. Although we successfully performed open transcatheter embolectomy in both legs, the patient died because of multiple organ failure 3 days after surgery. Given the ominous prognosis for this condition, this case report highlights the fact that the value of early detection and prompt evaluation of altered vital signs should not be overemphasized. We describe a rare case of primary aortic sarcoma that showed hypertensive encephalopathy caused by thoracic aortic occlusion and also had embolic metastases to the lower extremities.

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“…Most cases of this disease present with symptoms of embolism, and in some cases, the diagnosis was made by surgery ( 3 , 5 , 7 , 9 - 12 ). However, antemortem diagnosis is difficult, and most cases are diagnosed by autopsy ( 1 , 2 , 4 , 13 - 16 ).…”

Section: Discussionmentioning

confidence: 99%

An Autopsy Case of Intimal Sarcoma of the Abdominal Aorta with Bone Metastasis and Lymph Node Metastasis: A Case Report and Review of the Japanese Literature

et al. 2017

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A 73-year-old man complained of sternoclavicular joint pain; blood tests revealed elevated C-reactive protein. The patient developed delirium; magnetic resonance imaging showed metastatic bone tumors. He died two weeks after admission. Autopsy revealed abdominal aortic intimal sarcoma with metastasis to the peritracheal lymph nodes and sternum. Peripheral arterial embolism and bone metastasis are common symptoms of aortic intimal sarcoma, which implies a place for aortic intimal sarcoma in differential diagnoses of embolism or bone tumors of unknown origin.

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Intimal Sarcoma of Aortic Arch Treated with Proton Therapy following Surgery

Cited by 9 publications

References 8 publications

Intra-aortic metastases or intra-arterial thrombus?

Intra-aortic metastases or intra-arterial thrombus?

Concealed primary aortic sarcoma induced hypertensive encephalopathy resulting from a thoracic aortic occlusion: a case report

An Autopsy Case of Intimal Sarcoma of the Abdominal Aorta with Bone Metastasis and Lymph Node Metastasis: A Case Report and Review of the Japanese Literature

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