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Simultaneous surgery for abdominal aortic aneurysm and concomitant semi-malignant tumor of the abdominal wall

Sarcomas are the most frequent malignant abdominal wall tumors, usually presenting as slow-growing painless masses. A combination of a malignant tumor of the abdominal wall and an AAA is a peculiar and rather complex case. There are no established algorithms for the treatment of such concomitant lesions. In the lack of well designed studies, one should apply an individualized approach and common medical sense. Priority should be given to the lesion that presents a greater threat to the patient- There are several concerns in performing simultaneous surgery of the AAA associated with a malignancy. Simultaneous procedure was chosen in this particular patient, taking into account the aneurysm size and tumor type and extension.

dermatofibrosarcoma ; protuberans ; abdominal wall ; abdominal aortic aneurysm ; simultaneous surgery

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