Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Undifferentiated Pleomorphic Sarcoma of the Descending Thoracic Aorta Mimicking Pseudoaneurysm with Periaortic Hematoma: a Case Report

  • Kim, Minsu (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital) ;
  • Bae, Young-A (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital) ;
  • Byeon, Sun-Ju (Department of Pathology, Hallym University Dongtan Sacred Heart Hospital) ;
  • Choi, Jung-Ah (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital)
  • Received : 2019.03.13
  • Accepted : 2019.05.02
  • Published : 2019.06.30
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Abstract

Undifferentiated pleomorphic sarcoma (UPS) arising from the descending thoracic aorta is a rare type of tumor. To our knowledge, only a few cases have been reported in the literature. We present computed tomography (CT) and magnetic resonance imaging findings of a 43-year-old male patient with undifferentiated pleomorphic sarcoma of the descending thoracic aorta, which showed enhancement on only magnetic resonance imaging (MRI). MRI with contrast enhancement may be useful in differentiating an aortic tumor from atherosclerotic disease.

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References

  1. Sebenik M, Ricci A Jr, DiPasquale B, et al. Undifferentiated intimal sarcoma of large systemic blood vessels: report of 14 cases with immunohistochemical profile and review of the literature. Am J Surg Pathol 2005;29:1184-1193 https://doi.org/10.1097/01.pas.0000159774.70288.7d
  2. von Falck C, Meyer B, Fegbeutel C, et al. Imaging features of primary sarcomas of the great vessels in CT, MRI and PET/CT: a single-center experience. BMC Med Imaging 2013;13:25 https://doi.org/10.1186/1471-2342-13-25
  3. Heo SY, Park CS, Kim SJ, Park NH, Heo JH, Lee JJ. Undifferentiated pleomorphic sarcoma of the thoracic aorta: a case report. J Korean Soc Radiol 2016;75
  4. Goldblum JR. An approach to pleomorphic sarcomas: can we subclassify, and does it matter? Mod Pathol 2014;27 Suppl 1:S39-46 https://doi.org/10.1038/modpathol.2013.174
  5. Chiche L, Mongredien B, Brocheriou I, Kieffer E. Primary tumors of the thoracoabdominal aorta: surgical treatment of 5 patients and review of the literature. Ann Vasc Surg 2003;17:354-364 https://doi.org/10.1007/s10016-003-0018-x
  6. Wright EP, Glick AD, Virmani R, Page DL. Aortic intimal sarcoma with embolic metastases. Am J Surg Pathol 1985;9:890-897 https://doi.org/10.1097/00000478-198512000-00005
  7. Thalheimer A, Fein M, Geissinger E, Franke S. Intimal angiosarcoma of the aorta: report of a case and review of the literature. J Vasc Surg 2004;40:548-553 https://doi.org/10.1016/j.jvs.2004.06.035
  8. Utsunomiya D, Ikeda O, Ideta I, Hirayama T, Yamashita Y, Kamio T. Malignant fibrous histiocytoma arising from the aortic wall mimicking a pseudoaneurysm with ulceration. Circ J 2007;71:1659-1661 https://doi.org/10.1253/circj.71.1659
  9. Dedeilias P, Koletsis E, Nenekidis I, et al. Intimal aortic sarcoma mimicking ruptured thoracoabdominal type IV aneurysm. A rare case report and review of the literature. J Cardiothorac Surg 2011;6:162 https://doi.org/10.1186/1749-8090-6-162
  10. Rusthoven CG, Liu AK, Bui MM, et al. Sarcomas of the aorta: a systematic review and pooled analysis of published reports. Ann Vasc Surg 2014;28:515-525 https://doi.org/10.1016/j.avsg.2013.07.012