Pancreatic follicular dendritic cell sarcoma: one case report and literature review

Pancreatic follicular dendritic cell sarcoma (FDCS) is a rare neoplasm with unclear pathological characteristics. In this study, we report one case of pancreatic FDCS and review published cases to summarize the characteristics and treatment of pancreatic FDCS. A man in his early 30 s was admitted fo...

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Bibliographic Details
Published in:Journal of international medical research 2022-12, Vol.50 (12), p.3000605221142401-3000605221142401
Main Authors: Lu, Xiangyu, Wu, Yilei, Gong, Jun, Yu, Xiaojiong, Zhang, Yu, Yang, Chong
Format: Article
Language:English
Subjects:
Autoimmune diseases
Bile ducts
Case Reports
Dendritic Cell Sarcoma, Follicular - diagnostic imaging
Dendritic Cell Sarcoma, Follicular - surgery
Dendritic cells
Humans
Liver Neoplasms - surgery
Male
Pancreas - diagnostic imaging
Pancreas - pathology
Pancreas - surgery
Pancreaticoduodenectomy
Paraneoplastic Syndromes - surgery
Sarcoma
Tumors
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Summary:Pancreatic follicular dendritic cell sarcoma (FDCS) is a rare neoplasm with unclear pathological characteristics. In this study, we report one case of pancreatic FDCS and review published cases to summarize the characteristics and treatment of pancreatic FDCS. A man in his early 30 s was admitted for jaundice, abdominal fullness, and weight loss for 15 days. Computed tomography revealed a large capsule solid mass in the pancreatic head together with a dilated bile duct and enlarged retroperitoneal lymph nodes. Serum biochemistry revealed high total bilirubin levels (313.9 μmol/L) and normal tumor marker levels. Pancreatoduodenectomy was performed, but no chemotherapy was administrated at the patient’s behest. The pathologic diagnosis was pancreatic FDCS infiltrating the duodenal seromuscular layer and common bile duct. The patient presented with liver metastasis 3 months after surgery and died 8 months after surgery from multiorgan failure. Pancreatic FDCS is a rare disease with high invasiveness. Our previous case exhibited paraneoplastic syndrome together with this disease, and further investigation is needed to confirm whether paraneoplastic syndrome is a typical syndrome of pancreatic FDCS.
ISSN:0300-0605
1473-2300
DOI:10.1177/03000605221142401