Key result
Palliative axillary bifemoral bypass surgery significantly reduced lower limb pain in a patient with primary aortic sarcoma, though the patient succumbed to extensive metastasis 6 months post-surgery.
Why the study?
Does palliative surgery improve symptoms in a patient with advanced primary sarcoma of the abdominal aorta?
Case Report (n=1)
No
Does palliative surgery improve symptoms in a patient with advanced primary sarcoma of the abdominal aorta?
Palliative bypass surgery can effectively relieve ischemic pain in patients with advanced, unresectable primary aortic sarcoma, though overall prognosis remains poor.
Palliative bypass may relieve ischemic pain in unresectable aortic sarcoma; leaves open its role beyond this single case.
Primary sarcoma of the aorta is extremely rare and accounts for <1% of all sarcomas. The present study describes the case of a 45-year-old male who presented with lower limb and abdominal pain. Abdominal computed tomography (CT) and magnetic resonance (MR) arteriography revealed a tumor that extended from the infrarenal aorta to the aortic bifurcation. The external and internal iliac arteries were occluded by the tumor incursion. Palliative surgery was performed for the sarcoma since the patient refused a radical resection. To improve the blood supply to the lower limbs, an axillary bifemoral bypass was established. Following the surgery, the pain was significantly reduced. However, the patient succumbed due to extensive metastasis 6 months after this surgery. Aortic sarcoma is an extremely rare disease with a poor prognosis. A diagnosis at a relatively early stage is necessary for a longer survival time. Radical surgery is the most significant treatment. Patients at advanced stages should consider palliative surgery in order to improve their quality of life.
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ZHANG et al. (2013) conducted a case report in Primary sarcoma of the abdominal aorta (n=1). Palliative surgery (axillary bifemoral and femoro-femoral cross-over bypass grafts) was evaluated on Symptom relief and survival. Palliative axillary bifemoral bypass surgery significantly reduced lower limb pain in a patient with primary aortic sarcoma, though the patient succumbed to extensive metastasis 6 months post-surgery.
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