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Intimal Sarcoma of Aortic Arch Treated with Proton Therapy Following Surgery

Department of Cardiovascular Thoracic Surgery Fujieda Municipal General Hospital Fujieda
¹ First Department of Surgery Hamamatsu University School of Medicine Sizuoka, Japan

For reprint information contact: Naoyuki Ishigami, MD, Tel: 81 54 646 1111, Fax: 81 54 646 1122, Email: ishigami-ths{at}umin.net, Department of Cardiovascular Thoracic Surgery, Fujieda Municipal General Hospital, 4–1–11 Surugadai, Fujieda City 426–8677, Japan.

Management of a rare case of intimal sarcoma of the aortic arch is reported, which was diagnosed unexpectedly after total arch replacement for pseudoaneurysm. The prognosis for this condition is poor, with death usually within a few months from diagnosis. The newly developed proton-beam radiation therapy was applied to treat a local recurrence of the sarcoma following surgery. Positron-emission tomography/computed tomography revealed complete remission of the lesion.