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. 2008 Oct 28;1(1):280.
doi: 10.1186/1757-1626-1-280.

Primary pancreatic leiomyosarcoma: a case report

Shams Ul Islam Muhammad  1 , Faisal Azam, Stokes Zuzana
Affiliations

Primary pancreatic leiomyosarcoma: a case report

Shams Ul Islam Muhammad et al. Cases J. .

Abstract

Background: Leiomyosarcoma are malignant tumours of the soft tissues. It is most commonly found in the stomach, small intestine and retroperitoneum. Primary pancreatic leiomyosarcoma is extremely rare and only 22 cases have been reported in the literature since 1951. Its prognosis is poor and the palliative treatment is only aimed at symptomatic improvement.

Case presentation: We report case of primary pancreatic leiomyosarcoma with liver metastases in a 73 year old man who presented with weight loss, epigastric pain, anorexia, abdominal fullness and obstructive jaundice. Histological examination and Immunohistochemical analysis of liver biopsy specimen confirmed the diagnosis of metastatic leiomyosarcoma. The patient died of disease 3 months after the initial diagnosis.

Conclusion: Leiomyosarcoma of the pancreas is an extremely rare malignancy with a poor prognosis. Treatment is aimed at symptomatic improvement and pain management.

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Figures

Figure 1
Figure 1
Photomicrograph of the liver biopsy stained with Haematoxylin and Eosin (H&E) Original magnification × 200.
Figure 2
Figure 2
Photomicrograph of the liver biopsy stained with smooth muscle actin (SMA) Original magnification × 200.
See this image and copyright information in PMC

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