Pancreatic sarcoma – hepatobiliary surgery-surgery-healthfrom. com

Pancreatic cancer sarcoma means between leaf tissue from the pancreas, reported in the literature with primary pancreatic leiomyosarcoma sarcoma, chondrosarcoma, malignant fibrous histiocytoma, fibrosarcoma, rhabdomyosarcoma, malignant schwannoma, angiosarcoma, Malignant hemangiopericytoma, etc., are case reports. Fibromyxoid sarcoma treatment Reported in pancreatic leiomyosarcoma sarcoma most common, domestic literature retrieval CBM 1994 ~ 2000 total of 13 documents, including case reports of primary pancreatic sarcoma 8, are leiomyosarcoma (a total of six cases), pancreatic metastatic sarcoma 5 articles. Tumor sarcoma Basics

The main constituent of pancreatic sarcoma originated in the pancreas tissue, blood vessels, nerve tissue, whether it comes from the pancreas lymphosarcoma, it really belongs to the pancreatic sarcoma, various disagreements, according to the general pathological classification fibrosarcoma, leiomyosarcoma, neurofibrosarcoma , lymphosarcoma, liposarcoma, malignant schwannoma, reticular sarcoma, angiosarcoma, extramedullary plasma cell tumors and rhabdomyosarcoma, the most common of which fibrosarcoma, sarcoma can occur in any part of the pancreas, which is higher than the degree of malignancy of pancreatic cancer low.

(1) alcohol: Although whether alcohol can cause pancreatic sarcoma is inconclusive, but the reduction in alcohol consumption, especially not to drink less and drink high alcohol content drinks can prevent pancreatitis, may also be possible to avoid or reduce pancreatic sarcoma sex. Sarcoma causes and symptoms In addition, to avoid smoking, alcohol consumption and intake of high-fat, high-protein diet combined effects.

(2) quit smoking: in particular, to educate young people not to smoke. Ewing sarcoma survival rate in adults Smoked per day and duration of smoking and the occurrence of a positive correlation between pancreatic sarcoma, from a teenager began smokers are more susceptible to pancreatic sarcoma.


(3) to promote low-fat, low-protein, high-fiber and high-vitamin diet: Experts find fresh fruits and vegetables can prevent the occurrence of pancreatic sarcoma.

(4) reduce the environmental risk factors, a good environment for the prevention of pancreatic sarcoma factors play an important role. Sarcoma prognosis Should reduce or avoid exposure to radioactive substances, personnel engaged in radiation work should take good precautions. Ewing sarcoma meaning Should reduce the chance of viral infections, especially viral infection epidemic.

Pancreatic tumor compression can occur when the common bile duct obstructive jaundice; tumor invasion of the duodenum can cause duodenal obstruction; tumor growth over the General Assembly appear central necrosis, hemorrhage, cystic degeneration, the literature has tumor necrosis tissue infections Surgery was misdiagnosed as abdominal abscess drainage and tumor rupture causing peritonitis reported.

Pancreatic sarcoma can occur in various parts of the pancreas, the clinical symptoms and the size and location of the tumor is related to the time of early tumor is small, you can not have any symptoms, pancreatic mass accidentally discovered when B ultrasound or CT examination in, when the majority of the pancreatic tumor sarcoma has been found great.

The disease occurs in young people, even infants, tumor growth can occur in patients during upper abdominal pain discomfort, oppression or violation of celiac neurofilament may appear low back pain, half of the patients on treatment when palpable abdominal mass, hard, moving poor, tumor compression or irritation of the gastrointestinal tract, nausea, vomiting, fever duration in patients with advanced, wasting weight loss.

Imaging of pancreatic sarcoma diagnosis is very important, B-sites can be found in the pancreas huge solid mass, density, clear boundary, gastrointestinal barium meal examination can be found in the stomach and duodenum or the passage of pressure phenomena, CT and MRI of the pancreas can be found in parts of the lesions or localized increases, mass density increased, uniform, clear boundary, while the relationship between mass and large blood vessels and surrounding organs can be reflected, ERCP examination can be found in the pancreatic duct pressure, sudden interruption, distal pancreatic duct dilatation, such as performance, angiography can be found in blood vessels to reduce the tumor area, and pancreatic cysts, cystadenoma and cystadenocarcinoma performance similar to B ultrasound or CT-guided fine-needle aspiration biopsy of pancreas Pathology is a better diagnostic method that can confirm the diagnosis, but there is a certain risk, incorrect penetration around large blood vessels and organs may need to operate the physician has a wealth of experience, the current application is not widespread.

Preoperative diagnosis is difficult, patients often come to compression symptoms after treatment, imaging can only be found in the pancreas or left upper abdomen solid mass, its nature and origin are still not sure, even surgical exploration often found in mass due to extremely rare sarcoma rather mistaken for pancreatic rapid growth, or because of the larger volume consider pancreatic cystadenocarcinoma or retroperitoneal sarcoma, rely on pathological examination to confirm the diagnosis.

1. Sarcoma cancer symbol Pancreatic cystadenoma or cystadenocarcinoma cystadenoma or cystadenocarcinoma with pancreatic sarcoma is difficult to identify the clinical and radiologic, pathologic diagnosis is the last resort.

2. Sarcoma examples sarcomatoid carcinoma of the pancreas is a rare pancreatic cancer, pancreatic ductal epithelium is essentially derived from the undifferentiated carcinoma, but under a microscope, the tumor was composed of spindle cells, pleomorphic giant cell type, round cell type, etc. What is ewing sarcoma cancer difficult to identify with sarcoma, immunohistochemistry Keratin, EMA and other epithelial antibody staining, cells within the electron microscope desmosomes, with sarcoma, sarcomatoid carcinoma have been reported long-term survival after resection.

3. Synovial sarcoma treatment pancreatic sarcoma is a rare malignant cancer and sarcoma coexist, is the result of pluripotent stem cells into pancreatic cancer and sarcoma differentiation in two directions, immunohistochemistry, expression sarcoma area Vimentin, Actin, S-100, etc. Symptoms of sarcoma cancer mesenchymal markers or nerve tissue, the cancer express Keratin, EMA and other epithelial markers, high sarcoma cancer malignancy, poor prognosis.

Preferred surgical treatment, for complete removal of the tumor. Ewing sarcoma originates from Pancreatic tumor line pancreaticoduodenectomy, when pancreatic body and tail cancer, pancreatic row, splenectomy, invasion and stomach, colon and other surrounding organs, can be combined with part of the stomach, colon resection. Ewing sarcoma adults Few sarcoma metastatic pancreas or lymph node metastasis, as long as there is no infringement of the great vessels and liver metastases, it should not be possible to abandon excision.

Reports on the prognosis of pancreatic sarcoma rarely reported in the literature have long-term survival after complete resection of the tumor before surgery or if surgery were found to have liver metastases, usually a poor prognosis.

(1) alcohol: Although whether alcohol can cause pancreatic sarcoma is inconclusive, but the reduction in alcohol consumption, especially not to drink less and drink high alcohol content drinks can prevent pancreatitis, may also be possible to avoid or reduce pancreatic sarcoma sex. Ewing’s sarcoma symptoms In addition, to avoid smoking, alcohol consumption and intake of high-fat, high-protein diet combined effects.

(2) quit smoking: in particular, to educate young people not to smoke. Low grade sarcoma survival rate Smoked per day and duration of smoking and the occurrence of a positive correlation between pancreatic sarcoma, from a teenager began smokers are more susceptible to pancreatic sarcoma.

(3) to promote low-fat, low-protein, high-fiber and high-vitamin diet: Experts find fresh fruits and vegetables can prevent the occurrence of pancreatic sarcoma.

(4) reduce the environmental risk factors, a good environment for the prevention of pancreatic sarcoma factors play an important role. Rare sarcoma types Should reduce or avoid exposure to radioactive substances, personnel engaged in radiation work should take good precautions. Endometrial stromal sarcoma pathology Should reduce the chance of viral infections, especially viral infection epidemic.

(5) extended physical exercise, sports and more in the sun, and more acidic the body sweat can be excreted with the sweat, to avoid the formation of acidic.

(6) life to the law, irregular habits will increase the acidic, prone to cancer. Ewing s sarcoma Should develop good habits, so as to maintain a weak alkaline, so far from their various cancer diseases.