Whipple's procedure for an oligometastasis to the pancreas from a leiomyosarcoma of the thigh.
BACKGROUND
Pancreatic tumours are most frequently primary, with lesions secondary to metastasis uncommon.


METHODS
This report describes the case of a 61-year-old man who underwent resection of a right thigh leiomyosarcoma 2 years prior to presentation with obstructive jaundice. Subsequent CT and endoscopic ultrasound (EUS) diagnosed metastatic leiomyosarcoma to the pancreatic head for which he underwent a Whipple's pancreaticoduodenectomy.


CONCLUSIONS
Metastasis from an extremity leiomyosarcoma to the pancreas is an extremely rare entity, which can be diagnosed by EUS and treated successfully by pancreaticoduodenectomy.
Burke
J P
JP
Department of Orthopaedic Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. john.burke@ucd.ie
Maguire
D
D
Dillon
J
J
Moriarty
M
M
O'Toole
G C
GC
D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D013848:Thigh / Q000473:pathology*