Angiosarcoma presenting as an occluded popliteal artery pseudoaneurysm

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Presentation transcript:

Angiosarcoma presenting as an occluded popliteal artery pseudoaneurysm Brian Kogon, MD, Mustafa Kabeer, MD, Alan P. Sawchuk, MD, Michael Dalsing, MD, Steven Billings, MD  Journal of Vascular Surgery  Volume 27, Issue 5, Pages 970-973 (May 1998) DOI: 10.1016/S0741-5214(98)70280-0 Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 MRI revealed an irregular mixed signal mass in the popliteal fossa suggestive of an infected aneurysm or pseudoaneurysm. Journal of Vascular Surgery 1998 27, 970-973DOI: (10.1016/S0741-5214(98)70280-0) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 CT scan revealed a 5-cm diameter heterogeneous mass encompassing the native popliteal artery with ring-like calcifications at the center of the mass. The (A) prosthetic bypass graft appears distant from the involved area. Journal of Vascular Surgery 1998 27, 970-973DOI: (10.1016/S0741-5214(98)70280-0) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Angiogram revealed (A) right superficial femoral artery occlusion near the adductor canal. The right profunda femoral artery was patent. The right popliteal artery was occluded with (B) chronic collateral formation and three-vessel runoff. Journal of Vascular Surgery 1998 27, 970-973DOI: (10.1016/S0741-5214(98)70280-0) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Histologic examination revealed (A) irregular anastomosing proliferation of neoplastic blood vessels lined by (B) pleomorphic endothelial cells with marked nuclear atypia and abundant eosinophilic cytoplasm. Journal of Vascular Surgery 1998 27, 970-973DOI: (10.1016/S0741-5214(98)70280-0) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions