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Pleomorphic undifferentiated aortic sarcoma presenting as persistent endoleak after endovascular aneurysm repair  Eric A. Whittington, MD, Lisa D. Duncan,

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Presentation on theme: "Pleomorphic undifferentiated aortic sarcoma presenting as persistent endoleak after endovascular aneurysm repair  Eric A. Whittington, MD, Lisa D. Duncan,"— Presentation transcript:

1 Pleomorphic undifferentiated aortic sarcoma presenting as persistent endoleak after endovascular aneurysm repair  Eric A. Whittington, MD, Lisa D. Duncan, MD, Michael M. McNally, MD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 5, Issue 3, Pages (September 2019) DOI: /j.jvscit Copyright © 2019 The Authors Terms and Conditions

2 Fig 1 Preoperative computed tomography angiography (CTA) image of infrarenal aortic aneurysm with aortic sarcoma. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

3 Fig 2 Preoperative computed tomography angiography (CTA) image showing liver lesions reported as hepatic cysts. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

4 Fig 3 Large exophytic neoplastic mass involving the retroperitoneum identified as an aortic sarcoma. The right of the image is the cranial direction. The red vessel loop is around the left renal vein. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

5 Fig 4 Intraoperative aortic wall/retroperitoneal mass biopsy specimen showing pleomorphic sarcoma with spindle cell morphology, nuclear pleomorphism, and numerous mitoses (hematoxylin and eosin stain, magnification ×200). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

6 Fig 5 Aortic biopsy specimen tumor cells positive for CD68 as denoted by brown staining (CD68 immunostain with hematoxylin counterstain, magnification ×100). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

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