Wang Chen, Yu Ke-Xiao, Chen Yu
Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China.
World J Clin Cases. 2024 Jun 16;12(17):2925-2927. doi: 10.12998/wjcc.v12.i17.2925.
This article presents a comprehensive case report on an uncommon instance of metastatic clear cell sarcoma (CCS) originating from the pancreas. The high mortality rate of pancreatic carcinoma underscores the importance of precise diagnosis and early detection. The authors report a novel case of CCS with pancreatic metastasis, detailing successful surgical intervention through distal pancreatectomy and splenectomy, resulting in favourable outcomes. This study highlights the standard role of surgery in treating advanced CCS and emphasizes preoperative imaging and thorough patient history assessment. This article also underscores the necessity for long-term surveillance due to the potential for recurrence or metastasis. Despite the favourable recovery postsurgery, the absence of subsequent follow-up evaluation prompts consideration of the need for extended monitoring. This article raises questions about the nature of the pancreatic lesion and suggests the possibility of a primary lesion. Further evidence is crucial to establish the correlation between the features related to the development of the patient's primary and metastatic tumours. In conclusion, this study offers valuable insights into metastatic CCS of the pancreas, highlighting the importance of regular postoperative follow-up for improved outcomes through early detection and intervention.
本文介绍了一例罕见的源自胰腺的转移性透明细胞肉瘤(CCS)的综合病例报告。胰腺癌的高死亡率凸显了精确诊断和早期检测的重要性。作者报告了一例伴有胰腺转移的CCS新病例,详细描述了通过胰体尾切除术和脾切除术成功进行的手术干预,取得了良好的效果。本研究强调了手术在治疗晚期CCS中的标准作用,并强调了术前影像学检查和全面的患者病史评估。本文还强调了由于复发或转移的可能性而进行长期监测的必要性。尽管术后恢复良好,但缺乏后续随访评估促使人们考虑进行延长监测的必要性。本文提出了关于胰腺病变性质的问题,并暗示了原发性病变的可能性。进一步的证据对于确定与患者原发性和转移性肿瘤发展相关的特征之间的相关性至关重要。总之,本研究为胰腺转移性CCS提供了有价值的见解,强调了定期术后随访对于通过早期检测和干预改善预后的重要性。