AI Article Synopsis

  • AAA can complicate cancer treatment, particularly in cases where patients have both Abdominal Aortic Aneurysm (AAA) and Renal Cell Carcinoma (RCC), which occurs in 0.1-3% of cases.
  • A case study of a 65-year-old man showed successful treatment of both conditions through a combination of Endovascular Aneurysm Repair (EVAR) and kidney surgery, leading to a disease-free status after one year.
  • The outcomes suggest that AAA repairs can be effectively managed alongside renal tumors through either simultaneous or staged procedures, with EVAR being a beneficial option for such complex cases.

Article Abstract

Purpose: Detection of cancer in patients with AAA complicates the treatment of both diseases. AAA associated with RN are rare, with an incidence of 0.1-3% representing a challenge in defining the surgical timing and approach. We discuss the rational for the treatment in patients with concomitant patologies.

Case Report: A 65 years-old man was diagnosed with both AAA and Renal Cell Carcinoma. The patient underwent first EVAR followed by renal embolization and Radical Nefrectomy. Three months later a Type II Endoleak was diagnosed and treated successfully. At 1 year follow-up the patient is disease free with complete exclusion of aneurysm sac.

Conclusion: AAA can be successfully repaired in patients with renal neoplasm with great results, either simultaneously or in two stages. EVAR is a good alternative for such complex patients.

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