Primary tumor of the aorta is extremely rare. The authors report a case of primary aortic sarcoma presenting with a solitary metastasis to the right suprarenal region and malignant hypertension, mimicking pheochromocytoma, with a review of the literature on this topic.
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References
1.
Brodowski W. : Primares sarkom der aorta thoracica mit verbreitung des neugebildes in der unterent korperhalfte. Jahresb Leistung Fortschr Med8:243-246, 1873.
2.
Miura M.: Das primare riesenzellensorkom der aorta thoracica. Int Beitr Wissench Med Festschr R Virchows2:249-255, 1891.
3.
Auffermann H. : Primares aortengeschwulst mit eigentumlichen riesenzellen. Z Krebsfarch11:294-301, 1911.
4.
Nencki L.: Zur kenntnis der primartumoren der grossen gefasstamme. Cardiology10:1, 1946.
5.
Karhoff B.: Primartumor der aorta. Zbi Allg Pathol889:46, 1952.
6.
Kovaleva AN, Press BO: A case of primary sarcoma of the intima of the aorta. Arkh Pathol21:62-65, 1959.
7.
Kattus AA Jr , Longmire WP, Cannon JA, et al: Primary intraluminal tumor of the aorta producing malignant hypertension. N Engl J Med262:694-699, 1960.
8.
Kaigarodova RE, Berezovskaya EK: Endothelioma of the thoracic aorta. Grudn Khir5:88-90, 1963.
9.
Zeitlhofer J. , Holzner JH, Krepler P.: Primares fibromyxosarkom der aorta. Krebsarzi18:259-269, 1963.
10.
Sladden RA: Neoplasia of aortic intima. J Clin Pathol17:602-607, 1964.
11.
Smeloff EA, Reece JM, Master JH: Primary intraluminal malignant tumor of the aorta. Am J Cardiol15:107, 1965.
12.
Stevenson JE , Burkhead H., Trueheart RE, et al: Primary malignant tumor of the aorta . Am J Med51:553-559, 1971.
13.
Winkelmann RK, Van Heerden JA, Bernatz PE: Malignant vascular endothelial tumor with distal embolization. Am J Med51:692-697, 1971.
14.
Salm R.: Primary fibrosarcoma of aorta. Cancer29:73-83, 1972.
15.
Silverman JF , Wexler L.: Primary intraluminal tumor of the aorta. Radiology12:581-582, 1972.
16.
Kimbrell OC , Kaasa LJ: Primary intraluminal aortic myxoma with involvement of several vertebra. JAMA226:459-460, 1973.
17.
Steffelaar JF, Van der Heul RO, Blackstone E., et al: Primary sarcoma of the aorta. Arch Pathol99:139-142, 1975.
Crum CP, Feldman PS, Nolan SP: Primary fibroxanthosarcoma of the thoracic aorta. Virchows Arch [A] 379:351-358, 1978.
20.
Hernandez FJ, Stanley TM, Ranganath KA, et al: Primary leiomyosarcoma of the aorta. Am J Surg Pathol3:251-256, 1979.
21.
Weinberg DS , Maini BS: Primary sarcoma of the aorta associated with a vascular prothesis: A case report. Cancer46:398-402, 1980.
22.
Fehrenbacher JW, Bowers W., Strate R., et al: Angiosarcoma of the aorta associated with a Dacron graft. Ann Thorac Surg32:297-301, 1980.
23.
Chen KT: Primary malignant fibrous histiocytoma of the aorta. Cancer48:840-844, 1981.
24.
Millili JJ, LaFlare RG, Nemir P. Jr: Leiomyosarcoma of the abdominal aorta: A case report. Surgery89:631-634, 1981.
25.
Mason MS, Wheeler JR, Gregory RT, et al: Primary tumors of the aorta: Report of a case and review of the literature. Oncology39:167-172, 1982.
26.
Schmid E., Port SJ, Carroll RM, et al: Primary metastasizing aortic endothelioma. Cancer54:1407-1411, 1984.
27.
Wright EP, Glick AD, Virmani R., et al: Aortic intimal sarcoma with embolic metastases. Am J Surg Pathol9:890-894, 1985.
28.
Guvendik L. , Ross JK, Marshall RJ: Primary aortic malignant fibrous histiocytoma: A successfully treated case by surgical excision. Ann Thorac Surg42:578-580, 1986.
29.
Moeser P., Perlmutt LM, Moore J., et al: Primary intraaortic malignancy—a case report. Cardiovasc Intervent Radiol9:182-183, 1986.
30.
Herzberg AJ , Pizzo SV: Primary undifferentiated sarcoma of the thoracic aorta. Histopathol13:571-574, 1988.
31.
Haber LM, Truong L.: Immunohistochemical demonstration of the endothelial nature of aortic intimal sarcoma. Am J Surg Pathol12:798-802, 1988.
32.
Pruszczynski M., Coronel Cmd, Cate Lnt, et al: Immunohistochemical and ultrastructural studies of a primary aortic intimal sarcoma. Pathology20:173-178, 1988.
33.
Becquemin JP , Lebbe C., Saada F., et al: Sarcoma of the aorta: Report of a case and review of the literature. Ann Vasc Surg2:225-230, 1988.
34.
Paterson HS , Meredith DJ, Craddock DR: Malignant fibrous histiocytoma associated with a Dacron vascular prosthesis. Ann Thorac Surg47:772-774, 1989.
35.
Josen AS, Khine M.: Primary malignant tumor of the aorta. J Vasc Surg9:493-498, 1989.
36.
Nishikawa H. , Miyakoshi S., Nishimura S., et al: A case of aorta intimal sarcoma manifested with acutely occurring hypertension and aortic occlusion. Heart Vessels5:54-58, 1989.
37.
Fitzmaurice RJ, McClure J.: Aortic intimal sarcoma: An unusual case with pulmonary vascular involvement. Histopathology17:457-462, 1990.
38.
Honda K., Hara M., Miyakoshi S., et al: Characterization of myxoid substance of human aortic sarcoma . Jap Soc Pathol40:531-539, 1990.
39.
Weiss WM, Riles TS, Gouge TH, et al: Angiosarcoma at the site of a Dacron vascular prosthesis: A case report and literature review. J Vasc Surg14:87-91, 1991.
40.
Tejada E., Becker GJ, Waller BF: Malignant myxoid emboli as the presenting feature of primary sarcoma of the aorta (myxoid malignant fibrous histiocytoma): A case report and review of the literature. Clin Cardiol14:425-430, 1991.
41.
Higgins R., Posner MC, Moosa HH, et al: Mesenteric infarction secondary to tumor emboli from primary aortic sarcoma. Cancer68:1622-1627, 1991 .
42.
Fyfe BS, Quintana CS, Kaneko M., et al: Aortic sarcoma four years after Dacron graft insertion. Ann Thorac Surg58:1752-1754, 1994.
43.
Ronaghi AH, Roberts AC, Rosenkrantz H.: Intraaortic biopsy of a primary aortic tumor. J Vasc Int Rad5:777-780, 1994.
44.
Oppenheimer BS, Oppenheimer ET, Stout AP, et al: The latent period in carcinogenesis by plastics in rats and its relation to the presarcomatous stage. Cancer11:204-212, 1958.