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DC Field | Value | Language |
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dc.contributor.author | Zammit, Daniela | - |
dc.contributor.author | Cini, Charles | - |
dc.contributor.author | Cutajar, Jonathan | - |
dc.date.accessioned | 2017-06-14T08:20:18Z | - |
dc.date.available | 2017-06-14T08:20:18Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Zammit, D., Cini, C. & Cutajar, J. (2017). Surgical case report of uterine leiomyosarcoma metastasising to the pancreas resected by enucleation. Malta Medical School Gazette, 1(1), 32-36 | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar//handle/123456789/19870 | - |
dc.description.abstract | A 64-year old lady presented with worsening abdominal pain, vomiting and constipation. She had diffuse abdominal tenderness with peritonism, requiring an emergency laparotomy as a result of a perforated sigmoid tumour. An incidental hard lump was identified on the anterior surface of the pancreas and was removed by enucleation. It was later diagnosed as metastatic leiomyosarcoma based on histology and from her history of uterine malignancy. No recurrence is reported up to this day. Uterine leiomyosarcomas are aggressive malignant tumours with a high predisposition to metastasis, commonly to the lungs, liver, brain and bone. Metastasis to the pancreas is a rare occurrence and considered highly unusual, which can typically present with non-specific symptoms and signs. Imaging can pick up a pancreatic lesion and a radiologically-guided FNA as a pre-operative attempt is acceptable in order to differentiate the lesion before undertaking any major surgery. However, in view of only a few case reports found in the literature, surgical management of pancreatic metastases is not clearly defined with a questionable long-term prognosis. Most cases are managed by elective radical excision with good result. Review of the literature shows other more radical surgical approaches were used. This is the first report of metastatic uterine leiomyosarcoma to the pancreas being managed by enucleation, with a successful follow-up and no recurrence. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | University of Malta. Medical School | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Leiomyosarcoma | en_GB |
dc.subject | Uterus -- Cancer -- Surgery | en_GB |
dc.subject | Surgical emergencies | en_GB |
dc.subject | Pancreas -- Cancer -- Surgery | en_GB |
dc.subject | Enucleation | en_GB |
dc.subject | Cancer invasiveness | en_GB |
dc.subject | Metastasis -- Case studies | en_GB |
dc.title | Surgical case report of uterine leiomyosarcoma metastasising to the pancreas resected by enucleation | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
Appears in Collections: | MMSG, Volume 1, Issue 1 MMSG, Volume 1, Issue 1 |
Files in This Item:
File | Description | Size | Format | |
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Surgical case report of uterine leiomyosarcoma.pdf | 1.51 MB | Adobe PDF | View/Open |
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