Is sarcoma a complication of arterial femoro-popliteal bypass?
Angiosarcoma is a rare neoplasm comprising 1 to 2% of soft tissue sarcoma. This tumor has been associated with previous irradiation, exposure to toxins and the presence of foreign bodies. A case report of an epithelioid angiosarcoma that developed at the site of an arterial femoro-popliteal bypass using autologous vein is described. The initial presentation looked like a painful popliteal cyst. Chronic fibrosis secondary to the thrombosis could play a role in the tumorogenesis of this uncommon tumor. This case illustrates that sarcoma may be a late complication of vascular bypass and may have a rheumatologic presentation.
Nocturne
Gaëtane
G
Department of Rheumatology, Saint-Antoine Hospital, AP-HP, 75012 Paris, France.
Sellam
Jérémie
J
Miquel
Anne
A
M'Bappé
Pauline
P
Berenbaum
Françis
F
D000369:Aged, 80 and over; D005263:Femoral Artery / Q000601:surgery*; D006394:Hemangiosarcoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007717:Knee / Q000098:blood supply / Q000000981:diagnostic imaging; D008297:Male; D011150:Popliteal Artery / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000209:etiology*; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods