한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제14권2호
  • /
  • Pages.116-119
  • /
  • 2010
  • /
  • 2508-5778(pISSN)
  • /
  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
권호 표지

췌장의 낭종성 종양과 감별을 요하는 전이성 평활근육종: 증례 보고

Metastatic Leiomyosarcoma of the Pancreas Mimicking a Cystic Neoplasm: A Case Report

  • 성민경 (성균관대학교 의과대학 삼성서울병원 외과학교실) ;
  • 유동도 (성균관대학교 의과대학 삼성서울병원 외과학교실) ;
  • 장기택 (성균관대학교 의과대학 삼성서울병원 병리학교실) ;
  • 허진석 (성균관대학교 의과대학 삼성서울병원 외과학교실) ;
  • 최성호 (성균관대학교 의과대학 삼성서울병원 외과학교실) ;
  • 최동욱 (성균관대학교 의과대학 삼성서울병원 외과학교실)
  • Seung, Min-Kyung (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • You, Dong-Do (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jang, Kee-Taek (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Heo, Jin-Seok (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Seong-Ho (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Dong-Wook (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 발행 : 2010.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

Pancreatic tumors are primary in most cases. Pancreatic metastases associated with other primary malignancies, especially pancreatic metastasis of leiomyosarcoma, are infrequent. A 49-year-old woman underwent surgical resection of a mass in the right groin, which was diagnosed as a leiomyosarcoma and she was well for 4 years without evidence of disease recurrence. As part of her routine follow-up, an abdominal computed tomography (CT) identified a cystic neoplasm of the pancreas. Pylorus-preserving pancreaticoduodenectomy was performed. Microscopically, the tumor was composed of spindle cells with a predominantly fascicular pattern, which was consistent with a leiomyosarcoma that was metastatic to the pancreas. We report here a unique case of pancreatic metastasis from a leiomyosarcoma, which was resectable and mimicked a primary cystic neoplasm.

키워드

참고문헌

  1. Adsay NV, Andea A, Basturk O, Kilinc N, Nassar H, Cheng JD. Secondary tumors of the pancreas: an analysis of a surgical and autopsy database and review of the literature. Virchows Arch 2004;444:527-535.
  2. Crippa S, Angelini C, Mussi C, et al. Surgical treatment of metastatic tumors to the pancreas: a single center experience and review of the literature. World J Surg 2006;30:1536-1542. https://doi.org/10.1007/s00268-005-0464-4
  3. Z'Graggen K, Fernandez-del Castillo C, Rattner DW, Sigala H, Warshaw AL. Metastases to the pancreas and their surgical extirpation. Arch Surg 1998;133:413-417.
  4. Hiotis SP, Klimstra DS, Conlon KC, Brennan MF. Results after pancreatic resection for metastatic lesions. Ann Surg Oncol 2002;9:675-679. https://doi.org/10.1007/BF02574484
  5. Sperti C, Pasquali C, Liessi G, Pinciroli L, Decet G, Pedrazzoli S. Pancreatic resection for metastatic tumors to the pancreas. J Surg Oncol 2003;83:161-166. https://doi.org/10.1002/jso.10262
  6. Law CH, Wei AC, Hanna SS, et al. Pancreatic resection for metastatic renal cell carcinoma: presentation, treatment, and outcome. Ann Surg Oncol 2003;10:922-926. https://doi.org/10.1245/ASO.2003.02.003
  7. Bassi C, Butturini G, Falconi M, Sargenti M, Mantovani W, Pederzoli P. High recurrence rate after atypical resection for pancreatic metastases from renal cell carcinoma. Br J Surg 2003;90:555-559. https://doi.org/10.1002/bjs.4072
  8. Falconi M, Crippa S, Sargenti M, Capelli P, Pederzoli P. Pancreatic metastasis from leiomyosarcoma of the broad ligament of the uterus. Lancet Oncol 2006;7:94-95. https://doi.org/10.1016/S1470-2045(05)70543-X
  9. Le Borgne J, Partensky C, Glemain P, Dupas B, de Kerviller B. Pancreaticoduodenectomy for metastatic ampullary and pancreatic tumors. Hepatogastroenterology 2000;47:540-544.
  10. Nakajima Y, Kakizaki S, Kanda D, et al. Pancreatic and gastric metastases of leiomyosarcoma arising in the left leg. Int J Clin Oncol 2005;10:342-347. https://doi.org/10.1007/s10147-005-0487-8
  11. Behranwala KA, Roy P, Giblin V, A'hern R, Fisher C, Thomas JM. Intra-abdominal metastases from soft tissue sarcoma. J Surg Oncol 2004;87:116-120. https://doi.org/10.1002/jso.20105