Przegląd Gastroenterologiczny

Abstract

1/2013 vol. 8
Case report

Pleomorphic sarcoma of the pancreas – case report

Prz Gastroenterol 2013; 8 (1): 68–70
Online publish date: 2013/03/25
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Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
Primary mesenchymal tumors of the pancreas are extremely rare. Sarcoma-type lesions constitute about 1% of all malignant neoplasms. Cases have been described in world literature as: leiomyosarcoma, fibrosarcoma, carcinosarcoma,

rhabdomyosarcoma, liposarcoma, hemangioendothelioma, malignant neurilemoma, and malignant fibrous histiocytoma. We report a case of a 75-year-old woman with a tumor de­scribed as a postinflammatory cyst, despite lack of acute pancreatitis in anamnesis. The patient was treated operatively. Intraoperatively we found an orange-sized pancreatic tumor, infiltrating the back wall of the stomach and responsible for portal hypertension. The tumor together with the distal 2/3 of the stomach and spleen, pancreatic body and tail was resected. The pathologist diagnosed: pleomorphic sarcoma, probable histiocytic fibrosarcoma.
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