Laparoscopic treatment of a cephalic pancreatic leiomyoma
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Abstract
Background: Leiomyoma of the pancreas is very rare. Symptoms and signs are not specific. It has the clinical presentation of a pancreatic mass. The preoperative clinical and radiological assessments are fundamental to establish a therapeutic schema. The curative treatment is surgical resection.
A methodical histological examination is required to confirm the final diagnosis of Leiomyoma.
Case report: A 52-year-old female patient presented with a mass of the head of the pancreas. After preoperative assessment, the patient had laparoscopic enucleation. Postoperative course was no remarkable for complications. Pathology examination concluded to leiomyoma.
Conclusion: Preoperative diagnosis of pancreatic leiomyoma is difficult. It has the features of a pancreatic mass. The preoperative assessment aims to identify signs of malignancy. In its absence, laparoscopy is feasible and safe. Enucleation, if indicated, is a surgical option for a benign disease sparing the patient a pancreatic resection.
Keywords:
leiomyoma, pancreas, laparoscopy, Enucleation##plugins.themes.academic_pro.article.details##
References
- Skandalakis JE.Musculature of the alimentary tract. World J Surg 2000; 24: 391-4.
- Nakamura Y, Egami K, Maeda S, Hosone M, Onda M. Primary leiomyoma of the pancreas. Int J Pancreatol 2000; 28: 235-8.
- Wisniewski B, Vadrot J, Couvelard A. Primary leiomyoma of the head of pancreas. A case report. Gastroenterol Clin Biol 2006;30:137-8.
- Sato T, Kato S, Watanabe S, Hosono K, Kobayashi N, Nakajima A et al. Primary leiomyoma of the pancreas diagnosed by endoscopic ultrasound-guided fine-needle aspiration. Dig Endosc 2012;24:380.
- Komoda H, Nishida T, Yumiba T, Nishikawa K, Kitagawa T, Hirota S, et al. Primary leiomyosarcoma of the pancreas - a case report and case review. Virchows Arch 2002; 440: 334-7.