title: Isolated pancreatic granulocytic sarcoma: a case report and review of the literature.
abstract: Granulocytic sarcoma (GS) is an extramedullary tumor mass consisting of immature myeloid cells. Isolated pancreatic granulocyte sarcoma is extremely rare. We report a very unusual pancreatic granulocytic sarcoma in a patient without acute myeloid leukemia. The patient presented with acute epigastric pain because of splenic infarction due to a mass consisting of myeloblasts in the pancreatic tail. The patients underwent splenectomy and distal pancreatectomy. Pathology and immunohistochemistry suggested a GS. Despite local surgery, an isolated tumor recurred 2 mo after operation and the patient died 3 mo after removal of the tumor. Only 7 reported cases of pancreatic GS were identified in the literature and the mass was located in the pancreatic head. This is the first report of GS in the pancreatic tail with splenic infarction.
authors.affiliation: Department of Surgery, Tongji Hospital of Tongji University, Shanghai, China.
authors.forename: Xin-Ping
authors.initials: XP
authors.lastname: Li
authors.forename: Wen-Fang
authors.initials: WF
authors.lastname: Liu
authors.forename: Shu-Rong
authors.initials: SR
authors.lastname: Ji
authors.forename: She-Hua
authors.initials: SH
authors.lastname: Wu
authors.forename: Jian-Jun
authors.initials: JJ
authors.lastname: Sun
authors.forename: Yue-Zu
authors.initials: YZ
authors.lastname: Fan
mesh_terms: D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010179:Pancreas / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D023981:Sarcoma, Myeloid / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery