Вестник хирургии имени И.И. Грекова (Jan 2018)
SURGICAL STRATEGY IN PATIENTS WITH ABDOMINAL AORTIC ANEURYSM AND COINCIDENTAL MALIGNANCY OF DIFFERENT LOCALIZATION
Abstract
Abdominal aortic aneurysm was detected in 269 patients and 26 (9,6 %) of them had a coincidental malignancy. There were 25 (96,2 %) men and 1(3,8 %) woman of age from 46 to 88 years (on the average 67,9±1,7 years old). All of them had different accompanying diseases, influencing the choice of treatment strategy. More than half of patients (16 (61,5 %) had the advanced stage III or IV (3H) of cancer and three of them occupied the first place due to their wide occurrence: tumors of lung — 42,3 %, of stomach — 19,2 %, of large intestine — 11,5 %. The operations were performed in 8 patients with malignancy and in 2 patients with abdominal aortic aneurysm. Two-step operations were performed in 4 patients, the simultant operation — in one patient.
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