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Case Reports
. 2012 Sep;181(3):361-3.
doi: 10.1007/s11845-009-0447-9. Epub 2009 Nov 17.

Whipple's procedure for an oligometastasis to the pancreas from a leiomyosarcoma of the thigh

J P Burke  1 , D Maguire, J Dillon, M Moriarty, G C O'Toole
Affiliations
Case Reports

Whipple's procedure for an oligometastasis to the pancreas from a leiomyosarcoma of the thigh

J P Burke et al. Ir J Med Sci. 2012 Sep.

Abstract

Background: Pancreatic tumours are most frequently primary, with lesions secondary to metastasis uncommon.

Methods: This report describes the case of a 61-year-old man who underwent resection of a right thigh leiomyosarcoma 2 years prior to presentation with obstructive jaundice. Subsequent CT and endoscopic ultrasound (EUS) diagnosed metastatic leiomyosarcoma to the pancreatic head for which he underwent a Whipple's pancreaticoduodenectomy.

Conclusion: Metastasis from an extremity leiomyosarcoma to the pancreas is an extremely rare entity, which can be diagnosed by EUS and treated successfully by pancreaticoduodenectomy.

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