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- Title
An intra-aortic floating metastatic malignancy of unknown primary origin.
- Authors
Yoshinori Kuroda; Tetsuro Uchida; Jun Hayashi; Mitsuaki Sadahiro
- Abstract
A 69-year-old man with sudden strong back pain was transported to our hospital by ambulance. The computed tomography scan revealed an intra-aortic floating mass with a stalk arising from the descending aortic wall, which was thought to be a thrombus. The floating mass displayed the characteristics of a thrombus rather than a neoplastic tumour on magnetic resonance imaging scan. Under extracorporeal circulation, the descending aorta was cut open, and the mass was resected. Subsequently, a stent graft was placed to cover the abnormal aortic intima to prevent recurrent thrombus formation. The pathological diagnosis revealed an adenocarcinoma, not a thrombus. We could not detect the origin of malignancy despite additional examinations. Brain metastasis developed, and the patient died of recurrent pneumonia and urinary tract infection. These findings emphasize the importance of a precise plan of action for rare diseases.
- Subjects
CANCER of unknown primary origin; BACKACHE; BRAIN metastasis; CANCER tomography; OLDER men; DISEASES in older people
- Publication
European Journal of Cardio-Thoracic Surgery, 2018, Vol 53, Issue 2, p477
- ISSN
1010-7940
- Publication type
Article
- DOI
10.1093/ejcts/ezx306