Chisthi Meer M
Department of General Surgery, Government Medical College Pathanamthitta, Konni 689691, Kerala, India.
World J Clin Cases. 2024 Jun 16;12(17):2928-2931. doi: 10.12998/wjcc.v12.i17.2928.
In this editorial based on a case report, we delve into a seldom-seen occurrence of clear cell sarcoma featuring pancreatic metastasis in a 47-year-old male patient. Recognized for its typical tendency to metastasize to the lungs, bones, and brain, clear cell sarcoma rarely extends its reach to the pancreas. Despite the initial absence of discernible abnormalities during the patient's physical examination, the manifestation of abdominal pain prompted further investigation. Subsequent abdominal computed tomography brought to light the presence of a pancreatic tumor, culminating in the definitive diagnosis of clear cell sarcoma with pancreatic metastasis. The successful management of this atypical presentation involved a series of surgical interventions, including distal pancreatectomy and splenectomy. This report not only sheds light on the infrequent manifestation of clear cell sarcoma within the pancreas but also underscores the pivotal role of vigilant postoperative follow-up in addressing this rare sarcoma. The emphasis on postoperative care serves as a crucial aspect of the broader narrative, acknowledging the need for ongoing monitoring and management to ensure a comprehensive and successful treatment trajectory for patients with this unique presentation of clear cell sarcoma.
在这篇基于病例报告的社论中,我们深入探讨了一名47岁男性患者罕见的胰腺转移透明细胞肉瘤病例。透明细胞肉瘤通常倾向于转移至肺、骨和脑,很少累及胰腺。尽管患者最初体格检查未发现明显异常,但腹痛症状促使进一步检查。随后的腹部计算机断层扫描发现了胰腺肿瘤,最终确诊为伴有胰腺转移的透明细胞肉瘤。对这一非典型病例的成功治疗涉及一系列手术干预,包括胰体尾切除术和脾切除术。本报告不仅揭示了胰腺内透明细胞肉瘤的罕见表现,还强调了术后密切随访在处理这种罕见肉瘤中的关键作用。对术后护理的强调是更广泛叙述的一个关键方面,认识到持续监测和管理的必要性,以确保为患有这种独特表现的透明细胞肉瘤患者提供全面且成功的治疗过程。