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Case Reports
. 2025;85(5):1142-1145.

[Uterine leiomyosarcoma with metastasis to the pancreatic tail]

[Article in Spanish]
Daniela Pratto  1 , Mariana Bello  2 , Víctor Polanco  2 , Leandro Danze  3 , Germán Espil  2 , Kozima Shigeru  2 , Nebil Larrañaga  2
Affiliations
  • PMID: 41109297
Free article
Case Reports

[Uterine leiomyosarcoma with metastasis to the pancreatic tail]

[Article in Spanish]
Daniela Pratto et al. Medicina (B Aires). 2025.
Free article

Abstract
in English, Spanish

We present a case of a 31-year-old patient diagnosed with uterine leiomyosarcoma. During follow-up imaging with computed tomography, a hypodense nodular lesion was identified in the pancreatic tail. The lesion appeared solid, without dilation of the Wirsung duct, and did not show enhancement after intravenous contrast administration. Surgical resection and histopathological analysis confirmed the diagnosis of leiomyosarcoma metastasis. Given the rarity of pancreatic metastases from uterine leiomyosarcoma and the limited availability of information in the medical literature on this topic, it is crucial to maintain a high clinical suspicion in patients with a history of this disease.

Se presenta el caso de una paciente de 31 años con diagnóstico de leiomiosarcoma uterino. Durante un seguimiento mediante tomografía computarizada multidetector (TCMD), se identificó una imagen nodular hipodensa en la cola pancreática, de aspecto sólido, sin dilatación del Wirsung, que no mostró realce tras la administración de contraste endovenoso. Se realizó resección quirúrgica y análisis anatomopatológico de la misma, que confirmó el diagnóstico de metástasis de leiomiosarcoma. Dado el carácter poco común de las metástasis pancreáticas de leiomiosarcoma uterino y la limitada disponibilidad de información en la literatura médica sobre este tema, es crucial mantener una alta sospecha clínica en pacientes con antecedentes de esta enfermedad.

Keywords: leiomyosarcoma metastasis; pancreatic metastases; uterine leiomyosarcoma.

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