Abdominal aortic aneurysms (AAA) have been reported in 5% of males between the ages 65 and 79. The most common malignancies have their highest incidence in the same age group. Coexistence of AAA and malignancy is estimated to be 1-4%. Because of the relative infrequency of the problem, no consensus opinion exists about its management. This article reviews the literature on the subject of AAA and concomitant abdominal malignancies. We describe the current indications and surgical management of AAA, review the population studies describing a link between cancer and AAA, and examine the proposed mechanisms and risk factors behind this association. We also discuss how to determine priority of resection and provide recommendations and guidelines regarding the surgical management of this complex problem.
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