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Coexisting Abdominal Aortic Aneurysm and Lung Cancer

Virtually no guidelines exist regarding the treatment of patients with coexisting abdominal aortic aneurysm (AAA) and carcinoma of the lung. The records of 19 patients with this challenging combination presenting in the last 5 years were reviewed to determine: mode of presentation, risk factors, stage of cancer, size of AAA, treatment, and natural history. There were 15 men and four women aged 59-77 years. All had smoking histories ranging from 19.3 to 120 pack-years (mean: 74 pack-years). Ten presented with AAA primarily, six primarily with lung cancer, and in the remaining three, lung cancer and the AAA were diagnosed in the course of workup for unrelated complaints.