A Case of Resected Metastatic Leiomyosarcoma of the Pancreas

Awai, Toshinari; Tanaka, Shigeki; Hiraide, Ayako; Kusama, Kazushige; Takahashi, Akira; Hiroishi, Kazumasa; Sakamoto, Masashi; Yoshida, Hitoshi; Hoshino, Mitsunori; Ishii, Hiroshi; Kusano, Mitsuo; Inagaki, Tomoko; Morohoshi, Toshio; Mitamura, Keiji

doi:10.15369/sujms1989.14.319

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Metastatic tumors of the pancreas are usually diagnosed at an advanced stage and are rarely treated by surgery. 15 Chemotherapy or radiotherapy is generally ineffective. 15 Only surgical excision with a sufficient margin provides a potential chance to improve the prognosis, if the primary site 15 Surgery should be performed for a solitary metastasis with no evidence of metastasis to organs other than the pancreas.…”

Section: Discussionmentioning

confidence: 99%

“…15 Chemotherapy or radiotherapy is generally ineffective. 15 Only surgical excision with a sufficient margin provides a potential chance to improve the prognosis, if the primary site 15 Surgery should be performed for a solitary metastasis with no evidence of metastasis to organs other than the pancreas. 15 However, the presence of potentially resectable solitary metastasis in the pancreas is not common.…”

Section: Discussionmentioning

confidence: 99%

“…15 Only surgical excision with a sufficient margin provides a potential chance to improve the prognosis, if the primary site 15 Surgery should be performed for a solitary metastasis with no evidence of metastasis to organs other than the pancreas. 15 However, the presence of potentially resectable solitary metastasis in the pancreas is not common. 19 In the Mayo Clinic series, 19 only 27 of 1357 patients (2%) with solitary pancreatic masses had a secondary pancreatic tumor, and only 4 of them were resected.…”

Section: Discussionmentioning

confidence: 99%

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Pancreatic and gastric metastases of leiomyosarcoma arising in the left leg

et al. 2005

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Pancreatic or gastric metastases from other primary malignancies are rare, especially from leiomyosarcoma. We report a case of leiomyosarcoma in the left lower leg with metastases to the pancreas and stomach. A 61-year-old man had liver cirrhosis caused by hepatitis C virus infection and was followed up by his primary physician. Two years before presentation at our hospital, he had undergone surgical resection of leiomyosarcoma in the left lower leg and systemic chemotherapy for multiple metastatic tumors in the lung. On admission, endoscopic examination and computed tomography were performed for a routine checkup to exclude esophageal varices and liver tumor. Although the patient had no specific symptoms, multiple gastric and pancreatic metastases were identified by endoscopy and computed tomography, respectively. In general, metastases to the pancreas and stomach are rare. We discuss the clinical and diagnostic findings of pancreatic and gastric metastases by reviewing previously reported cases.

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Section: Discussionmentioning

confidence: 99%