A Case Report of a Pancreatic Sarcoma Combined with Autoimmune Pancreatitis

Tien-Hua Chen1,2,#, Shih-Yi Kao3,#, Hsiao-Huang Chang4,5, Jia-Fwu Shyu6, Cheng-Hsi Su7 and Pei-Jiun Tsai1,8*

1Institute of Anatomy and Cell Biology, School of Medicine, National Yang Ming University, Taiwan
2Department of Surgery, Veterans General Hospital, Taiwan
3Ten-Chan General Hospital Zhongli, Taiwan
4Department of Surgery, Division of Cardiovascular Surgery, Veterans General Hospital, Taiwan
5School of Medicine, Taipei Medical University, Taiwan
6Department of Biology and Anatomy, National Defense Medical Center, Taiwan
7Department of Surgery, Cheng Hsin General Hospital, Taiwan
8Department of Critical Care Medicine, Veterans General Hospital, Taiwan
#Both authors contributed equally to this manuscript

^*Correspondance to: Pei-Jiun Tsai 

 PDF  Full Text DOI: 10.25107/2474-1647.2723

Abstract

Sarcomas, malignant tumors arousing from connective tissues, are rarely found within the pancreas, which is a mesenchymal supporting structure. This report describes a 77 year old male with a several month history of refractory epigastric pain. A low-attenuation lesion at the pancreatic head was identified on abdominal computed tomography. The Whipple procedure (pancreaticoduodenectomy) with pancreaticogastrostomy reconstruction was performed. Histology revealed high-grade sarcoma and lymphoplasmacytic sclerosing pancreatitis. Although the operative course of treatment was smooth, the patient died of cerebrovascular accident postoperatively.

Keywords

Pancreatic sarcoma; Autoimmune pancreatitis; Chronic pancreatitis; Pancreatic mass lesion

Cite the article

Chen T-H, Kao S-Y, Chang H-H, Shyu J-F, Su C-H, Tsai P-J. A Case Report of a Pancreatic Sarcoma Combined with Autoimmune Pancreatitis. Clin Surg. 2020; 5: 2723..