Case Report
Copyright ©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Feb 21, 2007; 13(7): 1135-1137
Published online Feb 21, 2007. doi: 10.3748/wjg.v13.i7.1135
Pancreatic metastasis of leiomyosarcoma in the right thigh: A case report
Yang Seok Koh, Jung Chul, Chol Kyoon Cho, Hyun Jong Kim
Yang Seok Koh, Jung Chul, Chol Kyoon Cho, Hyun Jong Kim, Division of Hepatobiliary & Pantreatic Surgery, Department of Surgery, Chonnam National University Medical School, Gwangju 501757, Korea
Author contributions: All authors contributed equally to the work.
Correspondence to: Jung Chul Kim, Division of Hepatobiliary & pantreatic Surgery, Department of Surgery, Chonnam University Medical School, Hakdong 8, Donggu, Gwangju 501757, Korea. 3rdvivace@hanmail.net
Telephone: +82-62-2206456 Fax: +82-62-2271635
Received: December 7, 2006
Revised: December 27, 2006
Accepted: January 29, 2007
Published online: February 21, 2007
Abstract

Pancreatic tumors are primary in most of the cases. Pancreatic metastases associated with other primary malignancies, especially pancreatic metastasis of leiomyosarcoma, are uncommon. A 66-year-old woman underwent surgical resection of malignant mesenchymoma (70% osteosarcoma and 30% leiomyosarcoma) in the right thigh. In the postoperative period, a pancreatic mass was identified radiologically by abdominal computed tomography. Pylorus-preserving pancreaticoduodenectomy was performed. The surgical specimen revealed leiomyosarcoma metastasized to the pancreas. A metastatic nodule on the remnant pancreatic tail was discovered 9 mo after the first pancreatic resection, and distal pancreatectomy was performed. Cases of pancreatic metastasis from leiomyosarcoma are extremely rare, especially when the tumor was resectable. We report here a unique case of pancreatic metastasis from a leiomyosarcoma in the right thigh that had been treated surgically.

Keywords: Pancreatic tumor; Leiomyosarcoma; Meta-stasis