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Hochmalignes Intimasarkom in einem Aneurysma der infrarenalen Bauchaorta

High-grade intimal sarcoma in an aneurysm of the infrarenal aorta

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Zusammenfassung

Primäre Intimasarkome der Aorta sind äußerst seltene und aggressive Tumoren mit einer Neigung in Knochen und viszeralen Organen, einschließlich Leber, Nieren, Nebennieren und Lunge, zu metastasieren. Die ersten Symptome sind oft unspezifisch und manifestieren sich häufig aufgrund embolischer Ereignisse. Wir berichten über einen Fall, bei dem sich ein primäres Intimasarkom als Überaschungsbefund in einem Aneurysma der Bauchaorta bei einem Patienten mit Klaudikatio aufgrund einer peripheren Embolisierung fand.

Abstract

Primary intimal sarcomas of the aorta are extremely rare and aggressive tumors metastasizing into bones and visceral organs including liver, kidneys, adrenal glands, and lung. The first symptoms are often nonspecific and often caused by arterial embolism. We report a case with an incidental finding of primary intimal sarcoma in an aneurysm of a patient with claudication due to tumor embolization.

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  1. Klinik für Visceral-, Thorax-, Gefäßchirurgie, Klinikum der Philipps-Universität Marburg

    T. Osei-Agyemang, J. Geks &  B. Gerdes

  2. Klinik für Strahlendiagnostik, Klinikum der Philipps-Universität Marburg

    H.-J. Wagner

  3. Institut für Pathologie, Klinikum der Philipps-Universität Marburg

    U. Feek

  4. Klinik für Visceral-, Thorax-, Gefäßchirurgie, Klinikum der Philipps-Universität Marburg, Baldingerstraße, 35043 , Marburg

    B. Gerdes

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Osei-Agyemang, T., Geks, J., Wagner, HJ. et al. Hochmalignes Intimasarkom in einem Aneurysma der infrarenalen Bauchaorta. Chirurg 75, 823–827 (2004). https://doi.org/10.1007/s00104-004-0830-z

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