Resection of pancreatic and splenic metastases from alveolar soft part sarcoma: a case report

Surgical Case Reports

Yukio Asano¹  Akihiko Horiguchi¹  Shinpei Furuta¹  Takahiko Higashiguchi¹  Masahiro Shimura¹  Hironobu Yasuoka¹  Hidetoshi Nagata¹  Chihiro Hayashi¹  Yoshihiro Imaeda¹  Norihiko Kawabe¹  Satoshi Arakawa¹  Toki Kawai¹  Shin Ishihara¹  Masahiro Ito¹  Takayuki Ochi¹  Kenshiro Kamio¹  Yuka Kondo¹ 

[1] Department of Gastroenterological Surgery, Fujita Health University Bantane Hospital;

关键词: Metastases;    Pancreatic tumor;    Metastasectomy;    Alveolar soft part sarcoma;   

DOI  :  10.1186/s40792-020-00907-9

来源: DOAJ

【 摘 要 】

Abstract Background We present a case of pancreatic and splenic metastases following alveolar soft part sarcoma (ASPS), which was successfully treated by surgery. Case presentation A 41-year-old male was referred to our hospital in 2012. Computed tomography (CT) showed the presence of a pancreatic tumor. In 2002, the patient had undergone surgical resection of an ASPS of the anal region. In 2009, during follow-up, CT revealed lung metastases, which prompted surgical resection of the lung, followed by resection of the head skin in 2011. Abdominal ultrasonography (US) revealed the presence of isodense masses sized 34 mm in the pancreatic head and 60 mm within the spleen. The contrast-enhanced US revealed a solitary lesion with enhancement. Contrast-enhanced CT revealed solitary lesions with enhancement within the pancreatic head, spleen, and liver. The patient underwent metastasectomies from the pancreas, spleen, and liver. The patient was discharged on postoperative day 22 without recurrence for 18 months after metastasectomy. Twelve years after primary resection and 2 years after metastasectomy, the patient died as a consequence of multiple metastases. Conclusions We have presented a rare case of pancreatic and spleen metastases from ASPS. Resection by radical metastasectomy was successful without morbidity. Thus, for improved survival of patients with multiple metastases from ASPS, metastasectomy may be indicated. If multiple metastases are resectable, surgical approaches may be the preferred treatment.

【 授权许可】

Unknown