ABSTRACT
The authors report a case of severe intermittent claudication caused by a tumor mass in the popliteal fossa simulating an aneurysm. This proved to be a mesenchymatous tumor: malignant fibrous histiocytoma.
Subject(s)
Arterial Occlusive Diseases/etiology , Histiocytoma, Benign Fibrous/complications , Popliteal Artery , Soft Tissue Neoplasms/complications , Aged , Aneurysm/diagnostic imaging , Angiography , Arterial Occlusive Diseases/diagnostic imaging , Diagnosis, Differential , Histiocytoma, Benign Fibrous/pathology , Histiocytoma, Benign Fibrous/surgery , Humans , Male , Soft Tissue Neoplasms/surgeryABSTRACT
Signs of vascular and nerve compression were marked in a case of retroperitoneal malignant mesenchymoma presenting characteristic clinical signs and symptoms of slow progression. The fundamental value of intravenous urography and a barium meal to define the extent of the tumor and its relationships with the principal abdominal viscera is emphasized. When aniographic images are absent, as in this case, the pedicles have to be carefully isolated and temporarily clamped to avoid vascular accidents. As wide as possible an excision has to be performed to delay the appearance of the almost inevitable recurrences.
