A case report of primary pancreatic leiomyosarcoma requiring six additional resections for recurrences
| Autor: | Eisei Nishino, Masafumi Tomita, Tomoyuki Yamaguchi, Shinichiro Makimoto, Naoki Kataoka, Kotaro Hatano |
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| Rok vydání: | 2017 |
| Předmět: |
Leiomyosarcoma
medicine.medical_specialty medicine.medical_treatment Splenectomy Dissemination Malignancy Article Metastasis 03 medical and health sciences 0302 clinical medicine Recurrence Pancreatic tumor medicine Pancreas business.industry medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business Distal pancreatectomy Wide resection |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2017.10.039 |
| Popis: | Highlights • Primary pancreatic leiomyosarcoma is extremely rare, and is considered to be a highly aggressive malignancy. • We performed distal pancreatectomy, splenectomy, and wide resection of the transverse mesocolon. • Due to treat recurrent tumors, six additional resections were needed over a 5-year period. • Even if a primary pancreatic tumor recurs, long-term survival is achievable by repeated resection of recurrent tumors. Introduction Primary pancreatic leiomyosarcoma is extremely rare. We report a case in which six additional resections were required to treat recurrent tumors in a 5-year period following the primary operation. Presentation of case A 69-year-old man presented with a pancreatic tumor. Abdominal computed tomography scan showed a large heterogeneous mass with a necrotic area arising from the pancreatic body. We performed distal pancreatectomy, splenectomy, and wide resection of the transverse mesocolon. Histopathological examination confirmed the diagnosis of a pancreatic leiomyosarcoma. We repeatedly performed surgery on recurrent tumors. Discussion Primary pancreatic leiomyosarcoma is considered to be a highly aggressive malignancy. The most effective treatment is complete surgical resection with tumor-free margins. Even when tumors recur, it is possible to improve the prognosis by further resection. Conclusion Long-term survival is achievable by repeated resection of recurrent tumors. |
| Databáze: | OpenAIRE |
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