Palliative surgery for primary sarcoma in the abdominal aorta: A case report and review of the literature

Abstract

Abstract. Primary sarcoma of the aorta is extremely rare and accounts for <1% of all sarcomas. The present study describes the case of a 45-year-old male who presented with lower limb and abdominal pain. Abdominal computed tomography (CT) and magnetic resonance (MR) arteriography revealed a tumor that extended from the infrarenal aorta to the aortic bifurcation. The external and internal iliac arteries were occluded by the tumor incursion. Palliative surgery was performed for the sarcoma since the patient refused a radical resection. To improve the blood supply to the lower limbs, an axillary bifemoral bypass was established. Following the surgery, the pain was significantly reduced. However, the patient succumbed due to extensive metastasis 6 months after this surgery. Aortic sarcoma is an extremely rare disease with a poor prognosis. A diagnosis at a relatively early stage is necessary for a longer survival time. Radical surgery is the most significant treatment. Patients at advanced stages should consider palliative surgery in order to improve their quality of life.

Aortic sarcoma: a challenging diagnosis

“…A radical surgical approach should be used if feasible, followed by chemotherapy and radiation 2 6 7. If the radical surgery cannot be done, endarterectomy, anatomic bypass and stent graft placement procedures can be performed, although the results vary 6 8–10. The medical approach entails multiple drugs and regimens 2 11.…”

Primary aortic sarcoma in arch and descending aorta: a case report and literature review

“…Only several literatures (14)(15)(16)(17)(18)(19) (Table 1) mentioned the use of stent for management. Zhang et al (20) adopted a palliative surgery for a patient with an intimal sarcoma, in which axillary bifemoral and femoro-femoral cross-over bypass surgeries were performed. In this case, palliative surgery and chemoradiotherapy were both adopted.…”