Kocakoc Ercan, Havan Nuri, Bilgin Mehmet, Atay Musa
Department of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Iran J Radiol. 2014 May;11(2):e4880. doi: 10.5812/iranjradiol.4880. Epub 2014 May 15.
Primary pancreatic leiomyosarcomas are rare malignant neoplasms with an aggressive course and a large size. A 56-year-old woman presented with an 8-year history of abdominal pain. Multislice computed tomography revealed a large heterogeneous mass with necrotic, calcified and macroscopic fatty areas. The tumor was excised. Histopathological evaluation revealed leiomyosarcoma of the pancreas. If a patient has a large size mass with a cystic-necrotic component, pancreatic leiomyosarcoma should be considered in the differential diagnosis list after excluding other common differential diagnoses.
原发性胰腺平滑肌肉瘤是一种罕见的恶性肿瘤，病程侵袭性强且体积较大。一名56岁女性有8年腹痛病史。多层螺旋计算机断层扫描显示一个巨大的异质性肿块，伴有坏死、钙化和肉眼可见的脂肪区域。该肿瘤被切除。组织病理学评估显示为胰腺平滑肌肉瘤。如果患者有一个伴有囊性坏死成分的大肿块，在排除其他常见鉴别诊断后，胰腺平滑肌肉瘤应列入鉴别诊断清单中予以考虑。
