Femoral artery aneurysm developed on intimal sarcoma: Case report


Yanar F., Oner G., Yuksel S., Salduz A., Azamat I. F., Ozcinar B., ...Daha Fazla

TURKISH JOURNAL OF SURGERY, cilt.38, sa.3, ss.306-311, 2022 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 38 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.47717/turkjsurg.2022.4381
  • Dergi Adı: TURKISH JOURNAL OF SURGERY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.306-311
  • Anahtar Kelimeler: Intimal angiosarcoma, surgery, chemo-radiotherapy, SOFT-TISSUE SARCOMA, NEOADJUVANT CHEMOTHERAPY, FOLLOW-UP, EXTREMITY, THERAPY
  • İstanbul Üniversitesi Adresli: Evet

Özet

Intimal angiosarcoma is a rare vascular malignancy, and diagnosis is very difficult due to nonspecific symptoms. There are controversial points regarding the diagnosis, treatment and follow-up of intimal angiosarcomas. The purpose of this case report was to evaluate the diagnosis and treatment process of a patient diagnosed with femoral artery intimal angiosarcoma. Furthermore, in line with previous studies, it was aimed to illuminate controversial points. A 33-year-old male patient, who had been operated on due to ruptured femoral artery aneurysm, was diagnosed with intimal angiosarcoma with the pathology result. Recurrence was observed during clinical follow-up, and the patient was treated with chemotherapy and radiotherapy. Since there was no response to treatment, the patient underwent aggressive surgery including the surrounding tissues. No recurrence or metastasis was observed in the patient's 10th month follow-up. Although intimal angiosarcoma is rare, it should be considered in differential diagnosis when femoral artery aneurysm is detected. The most important step in treatment is aggressive surgery, but adding chemo-radiotherapy to the treatment should be considered.