Epithelioid Angiosarcoma of the Aorta in a 47-Year-old Man: A Case Report and Literature Review

Journal of Surgical Education

Volumn 64, Issue 3, 2007, Pages 165-170

  Dehqanzada, Zia A ^a,b   Menezes, Geetha ^a   Mukherjee, Dipankur ^a  

^a Inova Fairfax Transplant Center   (United States)

^b WALTER REED ARMY MEDICAL CENTER   (United States)

Author keywords

aorta; Medical Knowledge; Patient Care; rectal cancer; sarcoma

Indexed keywords

DOXORUBICIN; FLUOROURACIL; FOLINIC ACID; GADOLINIUM; IFOSFAMIDE; OXALIPLATIN; PYRIDOSTIGMINE;

ABDOMINAL AORTA; ADULT; ANAMNESIS; ANGIOSARCOMA; AORTA DISEASE; AORTA INTIMA; ARTICLE; CASE REPORT; CLINICAL FEATURE; COMBINATION CHEMOTHERAPY; COMPUTER ASSISTED TOMOGRAPHY; ENDARTERECTOMY; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; EPITHELIOID SARCOMA; HEREDITY; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; IMMUNOHISTOCHEMISTRY; INCIDENTAL FINDING; LYMPHADENOPATHY; MAGNETIC RESONANCE ANGIOGRAPHY; MALE; PATIENT REFERRAL; PRIORITY JOURNAL; RARE DISEASE; RECTUM CARCINOMA; RECTUM SURGERY; THROMBOSIS;

ADENOCARCINOMA; AORTIC DISEASES; ENDARTERECTOMY; HEMANGIOSARCOMA; HUMANS; MALE; MIDDLE AGED; PROGNOSIS; RECTAL NEOPLASMS;

EID: 34249986881     PISSN: 19317204     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jsurg.2007.01.025     Document Type: Article

References (37)

1. Clark M.A., Fisher C., Judson I., and Thomas J.M. Soft-tissue sarcomas in adults. N Engl J Med 353 (2005) 701-711
2. Strong L.C., Williams W.R., and Tainsky M.A. The Li-Fraumeni syndrome: from clinical epidemiology to molecular genetics. Am J Epidemiol 135 (1992) 190-199
3. Becquemin J.P., Lebbe C., Saada F., et al. Sarcoma of the aorta: report of a case and review of the literature. Ann Vasc Surg. 2 (1988) 225-230
4. Weiss W.M., Riles T.S., Gouge T.H., et al. Angiosarcoma at the site of a dacron vascular prosthesis: a case report and literature review. J Vasc Surg. 14 (1991) 87-91
5. Burke A.P., and Virmani R. Sarcomas of the great vessels. A clinicopathologic study. Cancer 71 (1993) 1761-1773
6. Hashimoto M., Sashi R., and Watarai J. Primary sarcoma of the aortic wall. Cardiovasc Intervent Radiol. 20 (1997) 322-323
7. Fehrenbacher J.W., Bowers W., Strate R., et al. Angiosarcoma of the aorta associated with a dacron graft. Ann Thorac Surg. 32 (1981) 297-301
8. Fitzmaurice R.J., and McClure J. Aortic intimal sarcoma: an unusual case with pulmonary vasculature involvement. Histopathology 17 (1990) 457-462
9. Seelig M.H., Klingler P.J., Oldenburg W.A., and Blackshear J.L. Angiosarcoma of the aorta: report of a case and review of the literature. J Vasc Surg 28 (1998) 732-737
10. Majeski J., Crawford E.S., Majeski E.I., et al. Primary aortic intimal sarcoma of the endothelial cell type with long-term survival. J Vasc Surg. 27 (1998) 555-558
11. Daniel L., Figarella-Branger D., Tournigand P., et al. Aortic sarcomas with eripheral emoblic disease: report of two cases. Rev Med Interne. 18 (1997) 799-805 [French]
12. Hottenrott G., Mentzel T., Peters A., Schroder A., and Katenkamp D. Intravascular ("intimal") epithelioid angiosarcoma: clinicopathological and immunohistochemical analysis of three cases. Virchows Arch 435 (1999) 473-478
13. Mohsen N.A., Haber M., Urrutia V.C., et al. Intimal sarcoma of the aorta. Am J Roentgenol. 175 (2000) 1289-1290
14. Rudd R.J., Fair K.P., and Patterson J.W. Aortic angiosarcoma presenting with cutaneous metastasis: case report and review of the literature. J Am Acad Dermatol 43 (2000) 930-933
15. Santonja C., Martin-Hita A.M., Dotor A., and Costa-Subias J. Intimal angiosarcoma of the aorta with tumour embolisation causing mesenteric ischaemia. Report of a case diagnosed using CD31 immunohistochemistry in an intestinal resection specimen. Virchows Arch 438 (2001) 404-407
16. Gittleman A.M., Luchs J.S., Hon M., Mohtashemi M., Hennawy R.P., and Katz D.S. Angiosarcoma of the aorta. J Vasc Interv Radiol 13 (2002) 214-215
17. Shuster T.A., Dall'Olmo C.A., Spadone D., et al. Abdominal aortic sarcoma: report of a case with long-term survival and review of the literature. Ann Vasc Surg. 16 (2002) 545-549
18. Akiyama K., Nakata K., Hasegawa M., et al. Primary malignant tumor of the aorta: a case report. Zentralbl Chir. 127 (2002) 791-793 [German]
19. Ghanem N., Riede U., Uhrmeister P., Weigang E., and Altehoefer C. Epithelioid angiosarcoma of the aorta. Vasa 31 (2002) 269-273
20. Chiche L., Mongredien B., Brocheriou I., and Kieffer E. Primary tumors of the thoracoabdominal aorta: surgical treatment of 5 patients and review of the literature. Ann Vasc Surg 17 (2003) 354-364
21. Thalheimer A., Fein M., Geissinger E., and Franke S. Intimal angiosarcoma of the aorta: report of a case and review of the literature. J Vasc Surg 40 (2004) 548-553
22. Bohner H., Luther B., Braunstein S., Beer S., and Sandmann W. Primary malignant tumors of the aorta: clinical presentation, treatment, and course of different entities. J Vasc Surg 38 (2003) 1430-1433
23. Hagspiel K.D., Hunter Y.R., Ahmed H.K., et al. Primary sarcoma of the distal abdominal aorta: CT angiography findings. Abdom Imaging 29 (2004) 507-510
24. Abularrage C.J., Weiswasser J.M., White P.W., Arora S., and Sidawy A.N. Aortic angiosarcoma presenting as distal arterial embolization. Ann Vasc Surg 19 (2005) 744-748
25. Defawe O.D., Thiry A., Lapiere C.M., Limet R., and Sakalihasan N. Primary sarcoma of an abdominal aortic aneurysm. Abdom Imaging 31 (2006) 117-119
26. Akutsu H., Tsuboi K., Sakamoto N., Nose T., Honma S., and Jikuya T. Cerebral metastasis from angiosarcoma of the aortic wall: case report. Surg Neurol 61 (2004) 68-71
27. Kwon T.W., Kim D.K., Kim G.E., Sung K.B., and Ro J.Y. Sarcoma of the abdominal aorta involving marginal arteries of the small intestine: a case report. Ann Vasc Surg 19 (2005) 719-723
28. Higgins R., Posner M.C., Moosa H.H., Staley C., Pataki K.I., and Mendelow H. Mesenteric infarction secondary to tumor emboli from primary aortic sarcoma. Guidelines for diagnosis and management. Cancer 68 (1991) 1622-1627
29. Sebenik M., Ricci Jr. A., DiPasquale B., et al. Undifferentiated intimal sarcoma of large systemic blood vessels: report of 14 cases with immunohistochemical profile and review of the literature. Am J Surg Pathol 29 (2005) 1184-1193
30. Kuzu I., Bicknell R., Harris A.L., Jones M., Gatter K.C., and Mason D.Y. Heterogeneity of vascular endothelial cells with relevance to diagnosis of vascular tumours. J Clin Pathol 45 (1991) 143-148
31. Meis-Kindblom J.M., and Kindblom L.G. Angiosarcoma of soft tissue. A study of 80 cases. Am J Surg Pathol 22 (1999) 683-697
32. Miettinen M., Lindenmayer A.E., and Chaubal A. Endothelial cell markers CD31, CD34, and BNH9 antibody to H- and Y-antigens. Evaluation of their specificity and sensitivity in the diagnosis of vascular tumors and comparison with von Willebrand factor. Mod Pathol 7 (1997) 82-90
33. Singer S., Corson J.M., Demetri G.D., Healey E.A., Marcus K., and Eberlein T.J. Prognostic factors predictive of survival for truncal and retroperitoneal soft-tissue sarcoma. Ann Surg 221 (1995) 185-195
34. Sarcoma Meta-analysis Collaboration. Adjuvant chemotherapy for localized resectable soft-tissue sarcoma of adults: meta-analysis of individual data. Lancet 350 (1997) 1647-1654
35. Antman K., Crowley J., Balcerzak S.P., et al. An intergroup phase III randomized study of doxorubicin and dacarbazine with or without ifosfamide and mesna in advanced soft tissue and bone sarcomas. J Clin Oncol 11 (1993) 1276-1285
36. Edmonson J.H., Ryan L.M., Blum R.H., et al. Randomized comparison of doxorubicin alone versus ifosfamide plus doxorubicin or mitomycin, doxorubicin, and cisplatin against advanced soft tissue sarcomas. J Clin Oncol 11 (1993) 1269-1275
37. Bode-Lesniewska B., Zhao J., Speel E.J., et al. Gains of 12q13-14 and overexpression of mdm2 are frequent findings in intimal sarcomas of the pulmonary artery. Virchows Arch 438 (2001) 57-65