Key result
Open repair of a large aortic aneurysm reveals a rare pleomorphic undifferentiated sarcoma.
Why the study?
Sarcomas of the aorta are rare tumours with diverse clinical presentations, presenting a diagnostic challenge.
Case Report (n=1)
Aortic sarcoma is a rare tumor that can present as an aneurysm and requires histopathological examination for definitive diagnosis.
Aortic sarcoma may present with fever and aneurysm; leaves open optimal biopsy timing and management strategies in atypical cases.
Sarcomas of the aorta are rare tumours with various clinical presentations. The most common symptoms are embolic events, constitutional symptoms, claudication, abdominal complaints, aneurysm/pseudoaneurysm, back pain and hypertension. We present a case of a woman in her early 60s having fever, fatigue and cough for 3 months. The chest CT revealed an aneurysm measuring 64.1×65.6 mm. The oncology and thoracic surgical teams were consulted and decided to do an open repair of the aorta and take specimens for histopathological examination, which later confirmed a pleomorphic undifferentiated sarcoma of the aorta. She was temporarily discharged on day 9th after the surgery, followed up by chemotherapy in subsequent admission.
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Bui et al. (2023) conducted a case report in Aortic sarcoma (n=1). Open repair of the aorta was evaluated. Open repair of a 64.1×65.6 mm aortic aneurysm and subsequent histopathological examination confirmed a rare pleomorphic undifferentiated sarcoma of the aorta in a woman in her early 60s.
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