title: Intimal angiosarcoma of the aorta: report of a case and review of the literature.
abstract: Although extremely rare, the group of primary malignant tumors of the aorta (PMTA) exhibits enormous histologic heterogeneity. In most cases, diagnosis is established late in the course of the disease; the median survival time is only a few months. We present the case of a 75-year-old patient with an intimal angiosarcoma of the infrarenal abdominal aorta and discuss the clinical presentation, histopathologic diagnosis, and classification of primary aortic sarcomas. A critical review of the diagnostic and therapeutic management in this case revealed that the atypical aortic thrombus should have prompted a comprehensive preoperative diagnostic work-up, specifically with magnetic resonance tomography of the aorta and bone scintigraphy.
authors.affiliation: Department of Vascular Surgery, University of Wuerzburg, Germany. a.thalheimer@gmx.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Thalheimer
authors.forename: Martin
authors.initials: M
authors.lastname: Fein
authors.forename: Eva
authors.initials: E
authors.lastname: Geissinger
authors.forename: Siegfried
authors.initials: S
authors.lastname: Franke
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006394:Hemangiosarcoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D011859:Radiography; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology; D019043:Vascular Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy