tailieunhanh - báo cáo khoa học: "Primary sarcoma of the pancreas, a rare histopathological entity. A case report with review of literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Primary sarcoma of the pancreas, a rare histopathological entity. A case report with review of literature | Ambe et al. World Journal of Surgical Oncology 2011 9 85 http content 9 1 85 5 t WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Primary sarcoma of the pancreas a rare histopathological entity. A case report with review of literature Peter Ambe1 Christian Kautz2 Shawqi Shadouh3 Silvia Heggemann4 and Lothar Kohler1 Abstract Aims primary pancreatic sarcomas represent an extremely rare histopathological entity accounting for less than of all pancreatic malignancies. Pancreatic sarcomas tend to be more aggressive and have a poor prognosis. Methods the case of a 52 year old patient presenting with jaundice is presented and the available literature was reviewed. Results primary pancreatic sarcomas are extremely rare. Pancreatic sarcomas are more aggressive than other pancreatic neoplasms. Conclusion primary sarcomas of the pancreas are extremely rare are aggressive and are associated with very poor prognosis. Background Sarcomas represent a relatively rare malignant entity. Primary sarcomas of the pancreas are even rarer. Amongst pancreatic sarcomas leiomyosarcomas have been most commonly reported. A review of the literature reveals seven cases of carcinosarcoma. We report a case of epitheloid carcinosarcoma in a young male patient presenting with pancreatitis and jaundice. Case presentation A 52 year old male with a history of chronic alcohol consumption was admitted in the medical department of our community hospital with an acute onset of upper abdominal pain nausea and vomiting. The diagnostic workup revealed elevated amylase and lipase of 1012U l and 1160U l respectively. A swollen edematous pancreas caput and gallbladder stones were evident on upper abdominal ultrasound. At the time of admission an endoscopic retrograde cholangio-pancreaticography ERCP was performed. The common bile duct however could not be visualized. ERCP was repeated after three Correspondence department of Surgery St. Elisabeth Kreiskrankenhaus