Alonso Gómez Jaime, Arjona Sánchez Álvaro, Martínez Cecilia David, Díaz Nieto Rafael, Roldán de la Rúa Jorge, Valverde Martínez Amparo, Lizárraga Febres Enrique, Padillo Ruiz Javier, Rufián Peña Sebastián
Hospital Universitario Reina Sofía, Córdoba, Spain.
J Gastrointest Cancer. 2012 Jun;43(2):361-3. doi: 10.1007/s12029-010-9172-x.
Uterine leiomyosarcoma is an aggressive malignant tumor that often leads to metastatic dissemination, generally in the lungs, liver, brain, and bones. Despite the fact that pancreatic neoplasms spread easily, the pancreas is not a usual target organ from other neoplasms.
We present a rare case of metastasis to the pancreas from uterine leiomyosarcoma treated with segmental resection with no recurrence at this stage. A review of the literature is later presented showing no similar case to what has been reported.
Surgical resection of unique pancreatic metastases is a safe practice. An increase in the survival rate has been demonstrated after resection of metastases from renal cell carcinoma, although it has not been proved with metastases from other locations. Further trials are needed.
子宫平滑肌肉瘤是一种侵袭性恶性肿瘤，常导致转移扩散，通常转移至肺、肝、脑和骨骼。尽管胰腺肿瘤易于扩散，但胰腺并非其他肿瘤常见的转移靶器官。
我们报告一例罕见的子宫平滑肌肉瘤转移至胰腺的病例，该病例接受了节段性切除治疗，目前尚无复发。随后对文献进行了回顾，结果显示没有与本报告类似的病例。
对孤立性胰腺转移瘤进行手术切除是一种安全的做法。肾细胞癌转移瘤切除术后生存率有所提高，尽管其他部位转移瘤切除术后生存率尚未得到证实。还需要进一步的试验。
