Related Experiment Videos
[Primary malignant tumor of the aorta]
K Akiyama1, K Nakata, M Hasegawa
1Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
Insights
Aortic sarcoma, a rare cancer, was unexpectedly discovered in a patient presenting with leg pain due to aortic occlusion. Surgical intervention and graft replacement were successful, with the patient recovering well.
Area of Science:
- Vascular Surgery
- Surgical Pathology
- Oncology
Background:
- A 63-year-old male presented with bilateral leg pain.
- Initial diagnosis was infrarenal abdominal aortic occlusion.
Observation:
- Histological examination of thrombotic material revealed atypical cells.
- Further investigation identified an aortic arch mass.
Findings:
- The resected aortic mass was diagnosed as a primary sarcoma.
- A Dacron graft was used for aortic replacement.
Implications:
- This case highlights the importance of thorough investigation for atypical findings in vascular thrombi.
- Early detection and surgical management of primary aortic sarcoma can lead to positive patient outcomes.
Abstract:
A 63-year old man suffering from bilateral leg pain was admitted to our hospital with an occlusion of the infrarenal abdominal aorta. A bifurcated dacron graft was implanted and a histological examination of the thrombotic material was performed. Atypical cells were detected in the thrombus leading to an investigation of the thoracic aorta showing an unclear mass in the aortic arch. The tumor was resected and the aorta replaced with a dacron graft. Histology revealed a primary sarcoma. The patient is doing well 6 months after operation.