Solitary Pancreatic Metastasis From Dermatofibrosarcoma Protuberans: A Diagnostic Challenge Mimicking Primary Pancreatic Carcinoma.
Zeyu Zhang, Changjing Zuo, Xia Zhou et al.
✦ AI-curated · Sources linked
Case in brief
A 56-year-old man presented with hyperglycemia and weight loss. Imaging suggested a pancreatic head mass resembling primary pancreatic carcinoma. 18 F-FDG PET/CT confirmed a hypermetabolic lesion without distant metastasis. After a Whipple procedure, histopathology and immunohistochemistry revealed a solitary pancreatic metastasis from dermatofibrosarcoma protuberans, highlighting the diagnostic challenges in differentiating it from primary pancreatic cancer.
Diagnostic / clinical pearl
Clinicians should consider the possibility of solitary pancreatic metastases in patients with a history of sarcoma, as they can mimic primary pancreatic carcinoma on imaging.