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Undifferentiated intimal sarcoma mimicking a mycotic aneurysm
Hiroyuki Seo1, Hidekazu Hirai1, Takanobu Aoyama2
1Department of Cardiovascular Surgery, Osaka Saiseikai Noe Hospital, Osaka, Japan.
VASA. Zeitschrift Fur Gefasskrankheiten
|September 25, 2019
Summary
Intimal sarcoma is a rare arterial tumor that can mimic other vascular conditions. Accurate diagnosis requires histological and immunohistochemical examination, especially with atypical presentations.
Area of Science:
- Vascular Surgery
- Oncology
- Pathology
Background:
- Intimal sarcoma is a rare malignant tumor of arteries.
- It often presents with symptoms mimicking other vascular disorders, complicating preoperative diagnosis.
Observation:
- A 71-year-old male presented with fever and elevated inflammatory markers, exhibiting a rapidly growing mass in the left internal iliac artery.
- Initial clinical diagnosis suggested a mycotic aneurysm due to the presentation.
Findings:
- Surgical intervention was performed, but intraoperative findings were atypical for a mycotic aneurysm.
- Postoperative microscopic and immunohistochemical examination confirmed undifferentiated intimal sarcoma.
Implications:
- Vascular surgeons must consider intimal sarcoma in cases with atypical vascular findings.
- Histological and immunohistochemical analyses are crucial for accurate diagnosis in surgical vascular cases.
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