Luo Shuai, Li Jin, Zeng Jiafei, Li Yao, Wang Jinjing
Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, PR China.
Heliyon. 2025 Feb 11;11(4):e42634. doi: 10.1016/j.heliyon.2025.e42634. eCollection 2025 Feb 28.
Pancreatic metastasis, particularly as the primary site of metastasis in rhabdomyosarcoma (RMS), is exceedingly rare, leading to a lack of relevant literature and research studies due to its extreme rarity. Moreover, its clinical presentation closely mimics pancreatitis, posing significant challenges in early clinical detection and diagnosis.
A 44-year-old male patient of Han ethnicity in China with a history of RMS originating from the right paranasal sinus underwent regular postoperative chemoradiotherapy. Positron emission tomography-computed tomography (PET-CT) scans, suggest the possibility of pancreatitis or tumor metastasis. Eventually, a pancreatic puncture biopsy confirmed RMS with pancreatic metastasis. Following diagnosis, the patient was transferred to the Cancer Hospital for scheduled chemoradiotherapy.
Given the clinical resemblance to pancreatitis, Due to the rarity of pancreatic rhabdomyosarcoma, there is no experience in cytological diagnosis, and there are great diagnostic challenges in cytological diagnosis of RMS. Definitive diagnosis relies heavily on pathological biopsy. Therefore, more cases warrant collection for a comprehensive investigation into the clinical, pathological, and genetic characteristics of this rare condition.
胰腺转移,尤其是作为横纹肌肉瘤(RMS)转移的原发部位极为罕见,因其极度罕见导致缺乏相关文献和研究。此外,其临床表现与胰腺炎极为相似,给早期临床检测和诊断带来巨大挑战。
一名44岁中国汉族男性患者,有起源于右鼻旁窦的RMS病史,术后接受了常规放化疗。正电子发射断层扫描 - 计算机断层扫描(PET - CT)显示可能为胰腺炎或肿瘤转移。最终,胰腺穿刺活检确诊为RMS伴胰腺转移。确诊后,患者被转至肿瘤医院进行预定的放化疗。
鉴于与胰腺炎的临床相似性,由于胰腺横纹肌肉瘤罕见,在细胞学诊断方面没有经验,RMS的细胞学诊断存在巨大挑战。明确诊断严重依赖病理活检。因此,需要收集更多病例以全面研究这种罕见疾病的临床、病理和遗传特征。