Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2024; 12(25): 5657-5661
Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5657
Shedding light on pancreatic metastasis of clear cell sarcoma: An exceptional journey
Preeti Kumari Chaudhary, Soochong Kim
Preeti Kumari Chaudhary, Soochong Kim, Veterinary Medicine, Chungbuk National University, Cheongju 28644, South Korea
Author contributions: Chaudhary PK and Kim S contributed to this study; Kim S designed the overall concept and outline of the manuscript; Chaudhary PK contributed to the discussion and design of the manuscript; Kim S and Chaudhary PK contributed to the writing and editing of the manuscript, illustrations, and review of the literature.
Supported by National Research Foundation of Korea, No. NRF-2022R1A2C1003638; and The Basic Research Lab Program through the NRF of Korea Funded by The Ministry of Science and ICT, No. 2022R1A4A1025557.
Conflict-of-interest statement: Preeti Kumari Chaudhary and Soochong Kim have nothing to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Soochong Kim, DVM, PhD, Professor, Veterinary Medicine, Chungbuk National University, Chungdae-ro 1, Seowon-Gu, Cheongju 28644, South Korea. skim0026@cbu.ac.kr
Received: March 26, 2024
Revised: May 9, 2024
Accepted: May 21, 2024
Published online: September 6, 2024
Processing time: 112 Days and 18.7 Hours
Abstract

This editorial comments on the study by Liu et al investigating pancreatic metastasis of clear cell sarcoma (CCS) published in the World Journal of Clinical Cases. CCS is a rare and aggressive melanocytic tumor, that typically arises from tendons and aponeuroses of the limbs, and metastasizes to the lungs, bones, and brain. However, pancreatic metastasis has rarely been reported, presenting unique diagnostic and therapeutic challenges. Elucidating the clinical characteristics, imaging features, prognostic factors, and treatment outcomes of patients with pancreatic CCS metastasis is crucial. Surgery remains an effective management strategy for CCS. However, the high recurrence rate and low effectiveness of traditional adjuvant treatments necessitate a shift towards more personalized and targeted treatment plans. Research is needed to investigate and validate novel therapeutic approaches specifically tailored to the distinct genetic and molecular characteristics of rare malignancies like CCS. Additionally, the development of late metastases after a long disease-free interval is common in CCS patients. Therefore, routine postoperative surveillance for metastasis using computed tomography, magnetic resonance imaging, bone scans, and positron emission tomography scans is crucial. Moving forward, enhanced collaboration, investigation, and creative thinking among scientists, medical professionals, and legislators are essential to gain a deeper understanding of these rare presentations.

Keywords: Clear cell sarcoma; Pancreas; Metastasis; Diagnosis; Treatment

Core Tip: Due to the extreme rarity of pancreatic metastasis of clear cell sarcoma (CCS), drawing definitive conclusions about its clinical courses, diagnosis, prognostic factors, and optimal treatment is challenging. Nevertheless, for individuals with a history of CCS, routine postoperative follow-up using computed tomography, magnetic resonance imaging, bone scans, and possibly positron emission tomography scans remains crucial for effective treatment.