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KMID : 0870420100140020116
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2010 Volume.14 No. 2 p.116 ~ p.119
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Metastatic Leiomyosarcoma of the Pancreas Mimicking a Cystic Neoplasm
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Seung Min-Kyung
You Dong-Do
Jang Kee-Taek
Heo Jin-Seok
Choi Seong-Ho
Choi Dong-Wook
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Abstract
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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.
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KEYWORD
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Metastatic leiomyosarcoma, Pancreatic metastasis, Pancreatic cystic neoplasm
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