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진행성 위암을 동반한 복부 대동맥류의 치험예 : 1예 보고
김홍기,최창식,조창순,류병기 대한혈관외과학회 1992 Vascular Specialist International Vol.8 No.1
In the age group in which aneurysms of the abdominal aorta usually occur, malignant neoplasia has a high relative incidence. The coincidence of two potentially lethal lesions raises obvious problems of management, particularly as regards priority of treatment. We experienced a case of abdominal aortic aneurysm which had intra-abdominal malignancy, advanced stomach cancer, stage III. He was a 67-year-old man with cancer of the stomach and infra-renal impending abdominal aortic aneurysm, diagnosed preoperatively. He was treated by two-stage operation of them, I.e., aneurysmectomy was performed about 2 weeks prior to radical subtotal gastrectomy. Selection of the operative approaches for patients having both alimentary tract malignancy and an abdominal aortic aneurysm was difficult, although the initial surgical intervention for the more life-threatening lesion would be better justified. So, these case was presented with brief review of the literature.