Abdominal aortic aneurysm and concomitant malignancy: what treatment?

Unlabelled: The association of neoplasm and abdominal aortic aneurysm (AAA), although rare, may represents a therapeutic dilemma.

Materials And Methods: Between January 1990 and December 2004 in our departement 127 patients were submitted because of an AAA, in 8 cases there was an association with a neoplasm, in the greater part being a colon cancer. In 3 cases we performed a one stage surgery, in 1 case the chose was for a two stage surgery, for 3 patients we opted for an endovascular treatment by an endograft, in 1 case a pancreatic cancer was diagnosed 3 months after the prosthetic replacement of an AAA and there were no surgical indications because of the patient was in an advanced neoplastic stage.