Metastatic Leiomyosarcoma of the Pancreas Mimicking a Cystic Neoplasm: A Case Report.
- Author:
Min Kyung SEUNG
1
;
Dong Do YOU
;
Kee Taek JANG
;
Jin Seok HEO
;
Seong Ho CHOI
;
Dong Wook CHOI
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. jinseok.heo@samsung.com
- Publication Type:Case Report
- Keywords:
Metastatic leiomyosarcoma;
Pancreatic metastasis;
Pancreatic cystic neoplasm
- MeSH:
Female;
Follow-Up Studies;
Groin;
Humans;
Leiomyosarcoma;
Middle Aged;
Neoplasm Metastasis;
Pancreas;
Pancreaticoduodenectomy;
Recurrence
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2010;14(2):116-119
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic tumors are primary in most cases. Pancreatic metastases associated with other primary malignancies, especially pancreatic metastasis of leiomyosarcoma, are infrequent. A 49-year-old woman underwent surgical resection of a mass in the right groin, which was diagnosed as a leiomyosarcoma and she was well for 4 years without evidence of disease recurrence. As part of her routine follow-up, an abdominal computed tomography (CT) identified a cystic neoplasm of the pancreas. Pylorus-preserving pancreaticoduodenectomy was performed. Microscopically, the tumor was composed of spindle cells with a predominantly fascicular pattern, which was consistent with a leiomyosarcoma that was metastatic to the pancreas. We report here a unique case of pancreatic metastasis from a leiomyosarcoma, which was resectable and mimicked a primary cystic neoplasm.
