Femoral artery aneurysm developed on intimal sarcoma: Case report
Fatih Yanar1
, Gizem Öner2, Sercan Yüksel1, Ahmet Salduz3, İbrahim Fethi Azamat1, Beyza Özçınar1, Bilge Bilgic4, Rana Günöz Cömert5, Erol Kozanoğlu6, Mehmet Kurtoğlu1
1Department of General Surgery, İstanbul University Faculty of Medicine, İstanbul, Türkiye
2Multidisciplinary Oncologic Centre (MOCA), Antwerpen University Hospital, Antwerpen, Belgium
3Department of Orthopaedic Surgery and Traumatology, İstanbul University Faculty of Medicine, İstanbul, Türkiye
4Department of Pathology, İstanbul University Faculty of Medicine, İstanbul, Türkiye
5Department of Radiology, İstanbul University Faculty of Medicine, İstanbul, Türkiye
6Department of Plastic and Reconstructive Surgery, İstanbul University Faculty of Medicine, İstanbul, Türkiye
Abstract
Intimal angiosarcoma is a rare vascular malignancy, and diagnosis is very difficult due to nonspecific symptoms. There are controversial points regarding the diagnosis, treatment and follow-up of intimal angiosarcomas. The purpose of this case report was to evaluate the diagnosis and treatment process of a patient diagnosed with femoral artery intimal angiosarcoma. Furthermore, in line with previous studies, it was aimed to illuminate controversial points. A 33-year-old male patient, who had been operated on due to ruptured femoral artery aneurysm, was diagnosed with intimal angiosarcoma with the pathology result. Recurrence was observed during clinical follow-up, and the patient was treated with chemotherapy and radiotherapy. Since there was no response to treatment, the patient underwent aggressive surgery including the surrounding tissues. No recurrence or metastasis was observed in the patient’s 10th month follow-up. Although intimal angiosarcoma is rare, it should be considered in differential diagnosis when femoral artery aneurysm is detected. The most important step in treatment is aggressive surgery, but adding chemo-radiotherapy to the treatment should be considered.
Keywords: Intimal angiosarcoma, surgery, chemo-radiotherapy
Cite this article as: Yanar F, Öner G, Yüksel S, Salduz A, Azamat İF, Özçınar B, et al. Femoral artery aneurysm developed on intimal sarcoma: Case report. Turk J Surg 2022; 38 (3): 306-311.
Externally peer-reviewed.
Concept – F.Y., G.Ö., S.Y., B.Ö., M.K.; Design – F.Y., G.Ö.; Supervision – A.S., İ.F.A., B.Ö.; Materials – F.Y., G.O., S.Y., B.B., R.G.C., E.K.; Data Collection and/or Processing – F.Y., G.Ö., A.S., İ.F.A., S.Y.; Literature Search – F.Y., G.Ö.; Writing Manuscript – F.Y., G.O., S.Y., A.S., I.F.A., B.O., B.B., R.G.C., E.K., M.K.; Critical Reviews – F.Y., G.Ö., S.Y., A.S., İ.F.A., B.Ö., M.K.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.