An aggressive periaortic lymphoma could very rarely invade the aortic wall. We present a unique case of a patient with symptomatic thoracic aneurysm and imminent rupture due to the periaortic lymphoma, in which endovascular treatment using stent graft was applied. After stabilization of the aorta and histological confirmation of aggressive B-cell lymphoma by computed tomography–guided biopsy, the antilymphoma therapy was initiated. Despite the full treatment, the patient died 12 months later.
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LottoAAKendallSWHartleyRWalkerP. A case of a periaortic lymphoma presenting with the features of the descending thoracic aorta dissection. Br J Radiol. 2007;80(949):30–32.
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YoungPWallbergMEVillarejoF. Thoracoabdominal periaortic lymphoma mimicking acute aortic syndrome. Report of one case. Rev Med Chil. 2009;137(3):390–393.
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AquinoSLChenMYKuoWTChilesC. The CT appearance of pleural and extrapleural disease in lymphoma. Clin Radiol. 1999;54(10):647–650.
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ChesonBDPfistnerBJuweidME; International Harmonization Project on Lymphoma. Revised response criteria for malignant lymphoma. J Clin Oncol. 2007;25(5):579–586.
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LuMTMillstineJMenardMTRybickiFJViscomiS. Periaortic lymphoma as a mimic of posttraumatic intramural hematoma. Emerg Radiol. 2006;13(1):35–38.
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