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Clinical Sarcoma Research
Published in: Clinical Sarcoma Research 1/2018

Open Access 01-12-2018 | Case Report

Descending thoracic aortic aneurysm revealing metastasis of a soft tissue fibrosarcoma: a case report and review of the literature

Authors: Clotilde Delerce, Olivia Bailly, Amine Bouhamama, Sophie Couchon, Frank Pilleul, Arnaud Thivolet, Charles Mastier

Published in: Clinical Sarcoma Research | Issue 1/2018

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Abstract

Background

Review of the first documented case of aortic wall metastasis from a limb sarcoma.

Case presentation

In a 56-year-old woman with a diagnosis of a high-grade limb fibrosarcoma, an aortic metastasis was revealed by a fast growing aneurysm of the descending thoracic aorta. This was managed with an endoprosthesis.

Conclusion

The presence of an aneurysm in a patient with a sarcoma with a high potential for metastasis and poor cardiovascular risk factors should alert physicians.
Literature
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Hallahan DE, Vogelzang NJ, Borow KM, Bostwick DG, Simon MA. Cardiac metastases from soft-tissue sarcomas. J Clin Oncol. 1986;11:1662–9.CrossRef
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Fletcher CDM, Unni KK, Mertens F. Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC press; 2002.
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Gerrand CH, Billingham LJ, Woll PJ, Grimer RJ. Follow up after primary treatment of soft tissue sarcoma: a survey of current practice in the United Kingdom. Sarcoma. 2007;2007:602–12.CrossRef
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Dimitrakopoulou-Strauss A, Strauss LG, Schwarzbach M, Burger C, Heichel T, Willeke F, Mechtersheimer G, Lehnert T. Dynamic PET 18F-FDG studies in patients with primary and recurrent soft-tissue sarcomas: impact on diagnosis and correlation. J Nucl Med. 2001;42:713–20.PubMed
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ESMO (European Sarcoma Network Working Group). Soft tissue and visceral sarcomas: ESMO-EURACAN clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2018;29:51–67.CrossRef
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Thalheimer Andreas, Fein Martin, Geissinger Eva, Franke Siegfried. Intimal angiosarcoma of the aorta: report of a case and review of the literature. J Vasc Surg. 2004;40:548–53.CrossRef
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Sebenik M, Ricci A Jr, DiPasquale B, Mody K, Pytel P, Jee KJ, Knuutila S, Scholes J. Undifferentiated intimal sarcoma of large systemic blood vessels: report of 14 cases with immunohistochemical profile and review of the literature. Am J Surg Pathol. 2005;29:1184–93.CrossRef
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Böhner Hinrich, Luther Bernd, Braunstein Stefan, Beer Sandra, Sandmann Wilhelm. Primary malignant tumors of the aorta: clinical presentation, treatment, and course of different entities. J Vasc Surg. 2003;38:1430–3.CrossRef
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Seelig MH, Klingler PJ, Oldenburg WA, et al. Angiosarcoma of the aorta: report of a case and review of the literature. J Vasc Surg. 1998;28:732–7.CrossRef
Metadata
Title
Descending thoracic aortic aneurysm revealing metastasis of a soft tissue fibrosarcoma: a case report and review of the literature
Authors
Clotilde Delerce
Olivia Bailly
Amine Bouhamama
Sophie Couchon
Frank Pilleul
Arnaud Thivolet
Charles Mastier
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Clinical Sarcoma Research / Issue 1/2018
Electronic ISSN: 2045-3329
DOI
https://doi.org/10.1186/s13569-018-0109-7

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