A Case of Resected Metastatic Leiomyosarcoma of the Pancreas

Toshinari AWAI; Shigeki TANAKA; Ayako HIRAIDE; Kazushige KUSAMA; Akira TAKAHASHI; Kazumasa HIROISHI; Masashi SAKAMOTO; Hitoshi YOSHIDA; Mitsunori HOSHINO; Hiroshi ISHII; Mitsuo KUSANO; Tomoko INAGAKI; Toshio MOROHOSHI; Keiji MITAMURA

doi:10.15369/sujms1989.14.319

Toshinari AWAI, Shigeki TANAKA, Ayako HIRAIDE, Kazushige KUSAMA, Akira TAKAHASHI, Kazumasa HIROISHI, Masashi SAKAMOTO, Hitoshi YOSHIDA, Mitsunori HOSHINO, Hiroshi ISHII, Mitsuo KUSANO, Tomoko INAGAKI, Toshio MOROHOSHI, Keiji MITAMURA

Author information

Toshinari AWAI
Second Department of Internal Medicine Showa University School of Medicine
Shigeki TANAKA
Second Department of Internal Medicine Showa University School of Medicine
Ayako HIRAIDE
Second Department of Internal Medicine Showa University School of Medicine
Kazushige KUSAMA
Second Department of Internal Medicine Showa University School of Medicine
Akira TAKAHASHI
Second Department of Internal Medicine Showa University School of Medicine
Kazumasa HIROISHI
Second Department of Internal Medicine Showa University School of Medicine
Masashi SAKAMOTO
Second Department of Internal Medicine Showa University School of Medicine
Hitoshi YOSHIDA
Second Department of Internal Medicine Showa University School of Medicine
Mitsunori HOSHINO
Second Department of Surgery Showa University School of Medicine
Hiroshi ISHII
Second Department of Surgery Showa University School of Medicine
Mitsuo KUSANO
Second Department of Surgery Showa University School of Medicine
Tomoko INAGAKI
First Department of Pathology Showa University School of Medicine
Toshio MOROHOSHI
First Department of Pathology Showa University School of Medicine
Keiji MITAMURA
Second Department of Internal Medicine Showa University School of Medicine

Keywords: leiomyosarcoma, metastatic pancreatic tumor, pancreas

JOURNAL FREE ACCESS

2002 Volume 14 Issue 4 Pages 319-327

DOI https://doi.org/10.15369/sujms1989.14.319

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Abstract

We present a case of metastatic leiomyosarcoma of the pancreas diagnosed by needle biopsy under computed tomography, and development of obstructive jaundice 8 years after resection of a left tibial leiomyosarcoma. A 58-year-old woman was admitted to our hospital with jaundice. Computed tomography and magnetic resonance image showed a 2.5 cm mass in the head of the pancreas. We obtained a biopsy from the tumor that showed histopathological features identical to those of the leiomyosarcoma in the left tibia resected 8 years ago. The lesion was suspected as metastatic leiomyosarcoma of the pancreas and the patient underwent pylorus-preserving pancreatoduodenectomy.

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