Document Detail

Delayed diagnosis of leiomyosarcoma of the common femoral artery after endovascular repair.
MedLine Citation:
PMID:  14533953     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe a unique case of misdiagnosed leiomyosarcoma of the common femoral artery presenting with signs and symptoms of high-grade stenosis, which was treated with stent placement. CASE REPORT: A 31-year-old woman with a history of diabetes and hyperlipidemia had recurrent claudication and showed significant in-stent restenosis of the common femoral artery in a postoperative angiogram at 5 months. The patient's clinical stage remained unchanged after repeat percutaneous intervention, and leiomyosarcoma was diagnosed from surgical specimens. The patient underwent resection and repair of the involved artery. She has survived 30 months with no further evidence of local recurrence or systemic metastatic disease. CONCLUSIONS: Endovascular repair may cause a long delay in the diagnosis of an arterial leiomyosarcoma mimicking peripheral occlusive disease.
Massimo Porcellini; Francesco Paolo D'armiento; Fabio Spinetti; Annamaria Anniciello; Giancarlo Bracale
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  10     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-10-09     Completed Date:  2004-03-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  846-8     Citation Subset:  IM    
Department of Vascular Surgery, Federico II University, Naples, Italy.
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MeSH Terms
Diagnosis, Differential
Diagnostic Errors
Femoral Artery*
Leiomyosarcoma / diagnosis*,  surgery
Peripheral Vascular Diseases / diagnosis,  therapy
Vascular Neoplasms / diagnosis*,  surgery

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