Pancreatic Leiomyosarcoma With Schistosomiasis Hematobia: A Case Report and Literature Review.

differential diagnosis imaging metastasis pancreatic leiomyosarcoma schistosomiasis hematobia

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2021
Historique:
received: 07 12 2020
accepted: 26 02 2021
entrez: 19 4 2021
pubmed: 20 4 2021
medline: 20 4 2021
Statut: epublish

Résumé

Pancreatic leiomyosarcoma (PL) is a very rare, malignant neoplasm with a very poor prognosis. Here, we examine a novel case of PL with schistosomiasis hematobia. The patient had been initially misdiagnosed by the first magnetic resonance imaging (MRI). The second imaging examination demonstrated an enlarged heterogeneous tumor mass in the body-tail of pancreas. Following image analysis, the patient underwent a pancreatectomy, splenectomy and lymph node dissections. Sixteen months after the tumor resection, follow-up computed tomography (CT) and MRI revealed tumor metastasis in the liver and lung. PL has non-specific clinical manifestations and imaging characteristics, making early diagnosis very challenging. When it is difficult to distinguish between benign and malignant pancreatic lesions, short-term imaging follow-up is preferred. In this case report, we discuss the relationship between PL and schistosomiasis hematobia.

Identifiants

pubmed: 33869026
doi: 10.3389/fonc.2021.638905
pmc: PMC8045707
doi:

Types de publication

Case Reports

Langues

eng

Pagination

638905

Informations de copyright

Copyright © 2021 Li, Staiculescu, Zhou and Chen.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Qiang Li (Q)

Department of Radiology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.

Daniel Staiculescu (D)

Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.

Yurong Zhou (Y)

Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China.

Jiang Chen (J)

Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China.

Classifications MeSH