» Articles » PMID: 21559270

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Overview
Publisher Wiley
Date 2011 May 12
PMID 21559270
Citations 7
Authors
Affiliations
Soon will be listed here.
Abstract

Background. The coexistence of neoplasm and abdominal aortic aneurysm (AAA) presents a real management challenge. This paper reviews the literature on the prevalence, diagnosis, and management dilemmas of concurrent visceral malignancy and abdominal aortic aneurysm. Method. The MEDLINE and HIGHWIRE databases (1966-present) were searched. Papers detailing relevant data were assessed for quality and validity. All case series, review articles, and references of such articles were searched for additional relevant papers. Results. Current challenges in decision making, the effect of major body-cavity surgery on an untreated aneurysm, the effects of major vascular surgery on the treatment of malignancy, the use of EVAR (endovascular aortic aneurysm repair) as a fairly low-risk procedure and its role in the management of malignancy, and the effect of other challenging issues such as the use of adjuvant therapy, and patients informed decision-making were reviewed and discussed. Conclusion. In synchronous malignancy and abdominal aortic aneurysm, the most life-threatening lesion should be addressed first. Endovascular aneurysm repair where possible, followed by malignancy resection, is becoming the preferred initial treatment choice in most centres.

Citing Articles

Stage II Pancreatic Adenocarcinoma after Endovascular Repair of Abdominal Aortic Aneurysm: A Case Report and Literature Review.

Zhang Z, Li D, Wang T, Niu H, Niu W, Yang Z J Clin Med. 2023; 12(2).

PMID: 36675372 PMC: 9865745. DOI: 10.3390/jcm12020443.


Cell proliferation detected using [F]FLT PET/CT as an early marker of abdominal aortic aneurysm.

Gandhi R, Cawthorne C, Craggs L, Wright J, Domarkas J, He P J Nucl Cardiol. 2019; 28(5):1961-1971.

PMID: 31741324 PMC: 8648642. DOI: 10.1007/s12350-019-01946-y.


Surgical Repair of Abdominal Aortic Aneurysm in Patients with Simultaneous Urological Disorders: a Single Center Experience.

Kotsis T, Dellis A Med Arch. 2018; 72(3):230-233.

PMID: 30061774 PMC: 6021157. DOI: 10.5455/medarh.2018.72.230-233.


Abdominal aortic aneurysm with periaortic malignant lymphoma differentiated from aneurysmal rupture by clinical presentation and magnetic resonance imaging.

Kamata S, Itou Y, Idoguchi K, Imakita M, Funatsu T, Yagihara T J Vasc Surg Cases Innov Tech. 2018; 4(2):95-98.

PMID: 29942890 PMC: 6012996. DOI: 10.1016/j.jvscit.2018.03.003.


Current surgical management of abdominal aortic aneurysm with concomitant malignancy in the endovascular era.

Maeda K, Ohki T, Kanaoka Y, Toya N, Baba T, Hara M Surg Today. 2015; 46(8):985-94.

PMID: 26471508 DOI: 10.1007/s00595-015-1262-8.


References
1.
Sheen A, Baguneid M, Ellenbogen S, Walker M, Siriwardena A . Sequential endovascular repair and pancreaticoduodenectomy for abdominal aortic aneurysm copresenting with periampullary cancer. Ann Vasc Surg. 2005; 20(1):114-6. DOI: 10.1007/s10016-005-9406-8. View

2.
Lin P, Barshes N, Albo D, Kougias P, Berger D, Huynh T . Concomitant colorectal cancer and abdominal aortic aneurysm: evolution of treatment paradigm in the endovascular era. J Am Coll Surg. 2008; 206(5):1065-73. DOI: 10.1016/j.jamcollsurg.2007.12.011. View

3.
Beinfeld M, Wittenberg E, Gazelle G . Cost-effectiveness of whole-body CT screening. Radiology. 2005; 234(2):415-22. DOI: 10.1148/radiol.2342032061. View

4.
Shalhoub J, Naughton P, Lau N, Tsang J, Kelly C, Leahy A . Concurrent colorectal malignancy and abdominal aortic aneurysm: a multicentre experience and review of the literature. Eur J Vasc Endovasc Surg. 2009; 37(5):544-56. DOI: 10.1016/j.ejvs.2009.01.004. View

5.
Bernhard V . Management of infected vascular prostheses. Surg Clin North Am. 1975; 55(6):1411-7. DOI: 10.1016/s0039-6109(16)40801-7. View