Curatively Treated Pancreatic Metastases of Intimal Sarcoma: First Case Report

Introduction: Pancreatic metastases from soft tissue sarcomas is rare.Case presentation: A woman known for high grade intimal sarcoma presented during her follow a solitary metastatic relapse of the head of pancreas.The MRI evidenced a 3.5 cm mass of the head of pancreas, hyper-intense on T1, T2 and diffusion weighted images.A new 18 F-FDG PET/CT confirmed the presence of a solitary hypermetabolic mass of the head of the pancreas (SUVmax 11.4), highly suspicious of an isolated pancreatic relapse.Results: Following multidisciplinary discussion, a pancreaticoduodenectomy with resection of whole gallbladder and locoregional lymph nodes dissection was performed.The patient had survived > 6 years after the pancreatectomy.Conclusions: Pancreatic metastases from STS are quite rare and no standard approach has been established yet.Multidisciplinary approach and evaluation of a surgical resection of isolated metastases can achieve long disease-free survival interval and be of curative intent.