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Article in Japanese
Abstract
Case Report
An autopsy case of primary intimal sarcoma of the aortic arch
Hiroki Yoshikawaa,b Hiroshi Ishiia,c Kaoru Nakamab Atsushi Yokoyamaa,b Hisako Kushimaa Jun-ichi Kadotaa
aDepartment of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine
bDepartment of Respiratory Medicine, National Hospital Organization Oita Medical Center
cDepartment of Respiratory Medicine, Fukuoka University Hospital
ABSTRACT
A 70-year-old male, who had undergone surgical removal of a brain tumor in 2010, was admitted to the hospital because of respiratory tract infection in 2011. A computed tomography showed masses of the aortic arch and liver. The patient was treated with palliative care alone and died 100 days after admission. An autopsy showed a hard tumor located at the aortic arch involving the left subclavian and the common carotid arteries. Intima of the aortic arch was replaced by spindle-shaped sarcoma cells, and direct invasion of these cells along the intima was observed. The pathological diagnosis was made as intimal sarcoma of the aorta, and there were multiple metastatic lesions in liver, spleen, bone, and brain. When a mass adjacent to the great artery is seen in thoracic images, we should be aware of a possibility of intimal sarcoma.
KEYWORDS
Intimal sarcoma Aortic arch Autopsy
Received 15 Mar 2013 ／ Accepted 4 Jun 2013
AJRS, 2(5): 641-645, 2013
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