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Aortic sarcoma: a challenging diagnosis
  1. Thi Huong Giang Bui1,2,
  2. Ngoc Son Do1,3,
  3. The Thach Pham1,3 and
  4. Duc Trieu Ho1,3
  1. 1Center for Critical Care Medicine, Bach Mai Hospital, Hanoi, Viet Nam
  2. 2Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam
  3. 3Department of Emergency and Critical Care Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam
  1. Correspondence to Dr Duc Trieu Ho; hoductrieu{at}


Sarcomas of the aorta are rare tumours with various clinical presentations. The most common symptoms are embolic events, constitutional symptoms, claudication, abdominal complaints, aneurysm/pseudoaneurysm, back pain and hypertension. We present a case of a woman in her early 60s having fever, fatigue and cough for 3 months. The chest CT revealed an aneurysm measuring 64.1×65.6 mm. The oncology and thoracic surgical teams were consulted and decided to do an open repair of the aorta and take specimens for histopathological examination, which later confirmed a pleomorphic undifferentiated sarcoma of the aorta. She was temporarily discharged on day 9th after the surgery, followed up by chemotherapy in subsequent admission.

  • Oncology
  • Surgical oncology
  • Vascular surgery

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: DTH, TTP, THGB and NSD. The following author gave final approval of the manuscript: NSD.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.