Abstract
Pancreatic metastases from a primary retroperitoneal leiomyosarcoma are rare. The case of a patient with a preoperative diagnosis of primary retroperitoneal leiomyosarcoma in whom a distal pancreatectomy was eventually performed is reported.
A 73-year-old man who initially underwent resection of a primary lesion later underwent resection for a 7th metastatic recurrence. During follow-up at 6 years after primary resection, a 20-mm, tumor-like lesion was noted in the body of the pancreas. The diagnosis was a pancreatic metastasis, and a distal pancreatectomy was performed. Although an ISGPF grade A postoperative pancreatic fistula occurred, the patient was discharged 11 days after surgery.
Pancreatic metastases from bone and soft tissue tumors are rare, but long-term survival after resection has been reported. Therefore, surgical resection should be considered a therapeutic option in such cases.
