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Angiosarcoma of the Descending Aorta, Diagnostic Difficulties

INTRODUCTION: Primary angiosarcomas of the aorta are rare and because of their non-specific presentation, the initial diagnosis is often very difficult. REPORT: A 66 year old woman, initially suffering from night sweats and general malaise, is presented. A computerized tomography (CT) scan was perfo...

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Autores principales: Anthonissen, N., Menting, T., Verkroost, M., Morshuis, W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576002/
https://www.ncbi.nlm.nih.gov/pubmed/28856306
http://dx.doi.org/10.1016/j.ejvssr.2016.04.002
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author Anthonissen, N.
Menting, T.
Verkroost, M.
Morshuis, W.
author_facet Anthonissen, N.
Menting, T.
Verkroost, M.
Morshuis, W.
author_sort Anthonissen, N.
collection PubMed
description INTRODUCTION: Primary angiosarcomas of the aorta are rare and because of their non-specific presentation, the initial diagnosis is often very difficult. REPORT: A 66 year old woman, initially suffering from night sweats and general malaise, is presented. A computerized tomography (CT) scan was performed which showed a filling defect of the descending aorta. This defect later caused embolic occlusion of the celiac vessels. The patient underwent surgical resection of the filling defect of the descending aorta and an embolectomy of the celiac vessels. The defect was histopathologically diagnosed as an angiosarcoma. The clinical presentation, diagnostic pitfalls, histopathological diagnosis, and the therapeutic management are discussed. DISCUSSION: In this case report, the importance of carefully diagnosing an angiosarcoma is highlighted as the consequences could be rapid metastasization or embolization.
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spelling pubmed-55760022017-08-30 Angiosarcoma of the Descending Aorta, Diagnostic Difficulties Anthonissen, N. Menting, T. Verkroost, M. Morshuis, W. EJVES Short Rep Case Report INTRODUCTION: Primary angiosarcomas of the aorta are rare and because of their non-specific presentation, the initial diagnosis is often very difficult. REPORT: A 66 year old woman, initially suffering from night sweats and general malaise, is presented. A computerized tomography (CT) scan was performed which showed a filling defect of the descending aorta. This defect later caused embolic occlusion of the celiac vessels. The patient underwent surgical resection of the filling defect of the descending aorta and an embolectomy of the celiac vessels. The defect was histopathologically diagnosed as an angiosarcoma. The clinical presentation, diagnostic pitfalls, histopathological diagnosis, and the therapeutic management are discussed. DISCUSSION: In this case report, the importance of carefully diagnosing an angiosarcoma is highlighted as the consequences could be rapid metastasization or embolization. Elsevier 2016-05-10 /pmc/articles/PMC5576002/ /pubmed/28856306 http://dx.doi.org/10.1016/j.ejvssr.2016.04.002 Text en © 2016 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Anthonissen, N.
Menting, T.
Verkroost, M.
Morshuis, W.
Angiosarcoma of the Descending Aorta, Diagnostic Difficulties
title Angiosarcoma of the Descending Aorta, Diagnostic Difficulties
title_full Angiosarcoma of the Descending Aorta, Diagnostic Difficulties
title_fullStr Angiosarcoma of the Descending Aorta, Diagnostic Difficulties
title_full_unstemmed Angiosarcoma of the Descending Aorta, Diagnostic Difficulties
title_short Angiosarcoma of the Descending Aorta, Diagnostic Difficulties
title_sort angiosarcoma of the descending aorta, diagnostic difficulties
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576002/
https://www.ncbi.nlm.nih.gov/pubmed/28856306
http://dx.doi.org/10.1016/j.ejvssr.2016.04.002
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