Pancreatic Carcinosarcoma: A Case Report Highlighting Computed Tomography Characteristics
Autor: | Leslie Teng, Matthew S. Hartman, Joseph Annunziata, Steven Mszyco |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Computed tomography 03 medical and health sciences 0302 clinical medicine Pancreatic Carcinosarcoma Carcinosarcoma Pancreatic mass Medicine Humans Radiology Nuclear Medicine and imaging Aged medicine.diagnostic_test business.industry medicine.disease Pancreaticoduodenectomy Right upper quadrant EPIGASTRIC ABDOMINAL PAIN Pancreatic Neoplasms medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Radiology business Pancreas Tomography X-Ray Computed |
Zdroj: | Current problems in diagnostic radiology. 46(4) |
ISSN: | 1535-6302 |
Popis: | Primary pancreatic carcinosarcoma is a rare and malignant neoplasm arising within the pancreas. With fewer than a dozen cases ever reported, the recognition and treatment of this rare phenomenon can be difficult. We describe the case of an 85-year-old man who presented with vague right upper quadrant and epigastric abdominal pain and was found to have a pancreatic mass on ultrasound and computed tomography. The patient underwent open pancreaticoduodenectomy and was found to have pancreatic carcinosarcoma on microscopic evaluation. Although specific radiologic diagnosis of this entity is not possible, bringing the possibility of primary pancreatic carcinosarcoma to the ordering clinician׳s attention has the potential to hasten treatment and improve patient outcomes. We review the current literature on this rare type of neoplasia, considering histopathologic and clinical features. This case highlights the importance of radiologist awareness of this rare neoplasm and to consider carcinosarcoma in the differential when presented with a mixed solid and cystic pancreatic mass. |
Databáze: | OpenAIRE |
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