Chap 81 Arterial Tumors Flashcards
List primary aortic tumors.
Angiosarcoma Sarcoma Malignant fibrous histiocytoma Leiomyosarcoma Fibrosarcoma Myxoma
What is the classification of arterial tumours?
Polypoid (intraluminal)
Intimal
Adventitial
What are features of polypoid tumours?
Have attachement to intima with growth into the lumen
Embolization is common
What are features of intimal tumours?
Grow along the endothelial surface
Lead to branch vessel occlusion
What are features of adventitial tumours?
Grow outward and invade surrounding structures
Is metastatic disease in arterial tumours common?
yes
What are echo findings of sarcoma?
inhomogeneous echo dense mass with outer membrane
What are most common site of metastasis?
bone 30% kidneys 30%, liver 25%, adrenal 20%, lungs 15%
What is treatment of choice for arterial tumours?
resection of mass
chemo/radiation
What is survival?
mean survival 14 months
radiation may prolong to 5 year