Whipple’s procedure for an oligometastasis to the pancreas from a leiomyosarcoma of the thigh

Background Pancreatic tumours are most frequently primary, with lesions secondary to metastasis uncommon. Methods This report describes the case of a 61-year-old man who underwent resection of a right thigh leiomyosarcoma 2 years prior to presentation with obstructive jaundice. Subsequent CT and end...

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Bibliographic Details
Published in:Irish journal of medical science 2012-09, Vol.181 (3), p.361-363
Main Authors: Burke, J. P., Maguire, D., Dillon, J., Moriarty, M., O’Toole, G. C.
Format: Article
Language:English
Subjects:
Case Report
Family Medicine
General Practice
Humans
Internal Medicine
Leiomyosarcoma - diagnosis
Leiomyosarcoma - secondary
Leiomyosarcoma - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Muscle Neoplasms - pathology
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - secondary
Pancreatic Neoplasms - surgery
Pancreaticoduodenectomy
Thigh - pathology
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Summary:Background Pancreatic tumours are most frequently primary, with lesions secondary to metastasis uncommon. Methods This report describes the case of a 61-year-old man who underwent resection of a right thigh leiomyosarcoma 2 years prior to presentation with obstructive jaundice. Subsequent CT and endoscopic ultrasound (EUS) diagnosed metastatic leiomyosarcoma to the pancreatic head for which he underwent a Whipple’s pancreaticoduodenectomy. Conclusion Metastasis from an extremity leiomyosarcoma to the pancreas is an extremely rare entity, which can be diagnosed by EUS and treated successfully by pancreaticoduodenectomy.
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-009-0447-9