The incidence of pulmonary neoplasms discovered by serial computed tomography scanning after endovascular abdominal aortic aneurysm repair

Abstract

Serial CT scans may reveal a high rate of pulmonary malignancies in a population with AAAs. Attention to the incidental finding of pulmonary nodules on CT scans and arrangement of appropriate follow-up by the vascular surgeon is important for patients undergoing surveillance after endovascular AAA repair. These results indicate that aggressive management of these lesions (early thoracic surgery consultation and biopsy) is appropriate in this high-risk population and may offer early diagnosis and improved long-term survival.

Natural History of Preoperative Subcentimeter Pulmonary Nodules in Patients With Resectable Pancreatic Adenocarcinoma

“…No studies to date have investigated the prevalence or natural history of these SCPNs after surgery. Our study demonstrated that the prevalence of preoperative subcentimeter pulmonary nodules in this specific patient population is 18%, roughly equivalent to those reported in cohorts of patients undergoing endovascular abdominal aortic aneurysm repair, 16 resection of hepatic colorectal cancer metastases, 15,17 and even healthy patients with smoking histories. 5,7,18 A caveat in reporting the prevalence is that it originates from indeterminate pulmonary nodules found on routine standard-of-care abdominal imaging.…”

Association Between Obesity and Cancer Mortality: An Internal Medicine Outpatient Clinic Perspective

“…A similar report was published by Fiotti and associates, in which they found that the patients with PAD had a higher long-term mortality rate, and mortality rate from cancer exceeded that of cardiovascular diseases [57]. According to Yannoutsos and colleagues, and many other studies, the epidemiological evidence confirms that PAD is a marker for the development of lung cancer, independent of age [58][59][60][61][62][63]. Similarly, Kaschwich and colleagues found that patients suffering from symptomatic PAD had a markedly higher risk for incident cancer in the long-term follow-up, especially for certain types of cancers, such as cancer of the lung, bladder, pancreas, and colon [64].…”

Increased risk of malignancy in patients with an aortic aneurysm: a nationwide population-based retrospective study

“…Previous clinical observational studies have shown that an association exists between AAs and increased incidence of malignancy. Serial CT surveillance revealed that the rate of pulmonary malignancies was high in a population with AAs compared with a population without AAs [ 10 ]. This finding raised the question of whether increased medical surveillance for AAs may provide clinicians with opportunities diagnose malignancies earlier.…”