Arterial Tumours

Question 1

List primary aortic tumors.

Answer 1

Angiosarcoma
Sarcoma
Malignant fibrous histiocytoma
Leiomyosarcoma
Fibrosarcoma
Myxoma

Question 2

What is the classification of arterial tumours?

Answer 2

Polypoid (intraluminal)
Intimal
Adventitial

Question 3

What are features of polypoid tumours?

Answer 3

Have attachement to intima with growth into the lumen
Embolization is common

Question 4

What are features of intimal tumours?

Answer 4

Grow along the endothelial surface
Lead to branch vessel occlusion

Question 5

What are features of adventitial tumours?

Answer 5

Grow outward and invade surrounding structures

Question 6

Is metastatic disease in arterial tumours common?

Answer 6

yes

Question 7

What are echo findings of sarcoma?

Answer 7

inhomogeneous echo dense mass with outer membrane

Question 8

What are most common site of metastasis?

Answer 8

bone 30%
kidneys 30%,
liver 25%,
adrenal 20%,
lungs 15%

Question 9

What is treatment of choice for arterial tumours?

Answer 9

resection of mass
chemo/radiation

Question 10

What is survival?

Answer 10

mean survival 14 months
radiation may prolong to 5 year