Paasch Christoph, De Santo Gianluca, Boettge Katherina Renate, Strik Martin W
General Surgery, Helios Klinikum Berlin-Buch, Berlin, Germany.
BMJ Case Rep. 2018 Dec 31;11(1):e226369. doi: 10.1136/bcr-2018-226369.
The mesenchymal chondrosarcoma (MC) is a rare malignant tumour and accounts for less than 3% of primary chondrosarcomas. Mostly MC arises from the craniofacial bones, the ribs, the ilium, the femur and the vertebrae. A 54-year-old man was treated due to an icterus of unknown origin. The medical history of the patient consists of a multimodal treated MC of the thoracic vertebrae. A CT imaging identified a 2×4 cm sized mass of the pancreatic head. Suspecting a pancreatic head carcinoma surgical removal was performed. Histopathological a metastasis of MC was diagnosed. Our patient left the hospital after 17 days and died 23 month after surgery. Metastases of MC to the pancreas are rare. When detecting a mass of the pancreas in patients with a medical history of an MC, a metastasis of these tumour should be taken in consideration.
间叶性软骨肉瘤(MC)是一种罕见的恶性肿瘤,占原发性软骨肉瘤的比例不到3%。MC大多起源于颅面骨、肋骨、髂骨、股骨和椎骨。一名54岁男性因不明原因黄疸接受治疗。患者病史包括胸椎多模式治疗的MC。CT成像发现胰头有一个2×4厘米大小的肿块。怀疑为胰头癌,进行了手术切除。组织病理学诊断为MC转移。我们的患者术后17天出院,术后23个月死亡。MC转移至胰腺很罕见。在有MC病史的患者中检测到胰腺肿块时,应考虑该肿瘤的转移。