Soft-tissue metastasis revealing a pancreatic adenocarcinoma: one case report and a review of literature

Pan Afr Med J. 2012:11:32. Epub 2012 Feb 22.

Abstract

Soft tissue metastases from pancreatic adenocarcinoma are rare lesions and can be the source of diagnostic confusion both clinically and pathologically. To our knowledge, one patient has been reported on with soft tissue lesions that ultimately disclose a pancreatic adenocarcinoma. We report here on a patient who presented with a metastatic soft tissue lesion in the trochanter, and the buttocks, as the initial manifestation of pancreatic adenocarcinoma. Soft tissue metastasis from pancreatic carcinoma is a rare finding. Clinicians should be aware that metastatic soft tissue lesions could be the initial presenting sign for pancreatic cancer. Also, the immunohistochemical staining for CK 7 and 19 may be helpful for the diagnosis of metastatic pancreatic adenocarcinoma.

Keywords: Morocco; Soft tissue metastases; computer tomography scan; pancreatic adenocarcinoma; rare.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / drug therapy
  • Adenocarcinoma / pathology*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Buttocks
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / analogs & derivatives
  • Diagnosis, Differential
  • Female
  • Gemcitabine
  • Humans
  • Middle Aged
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / drug therapy
  • Pancreatic Neoplasms / pathology*
  • Soft Tissue Neoplasms / diagnosis*
  • Soft Tissue Neoplasms / drug therapy
  • Soft Tissue Neoplasms / secondary*
  • Thigh

Substances

  • Deoxycytidine
  • Gemcitabine