Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2024; 12(8): 1448-1453
Published online Mar 16, 2024. doi: 10.12998/wjcc.v12.i8.1448
Metastatic clear cell sarcoma of the pancreas: A rare case report
Yu-Jing Liu, Chen Zou, Yong-You Wu
Yu-Jing Liu, General Surgery II, Suzhou Hospital, The Affiliated Hospital of Medical School, Nanjing University, Suzhou 215000, Jiangsu Province, China
Chen Zou, Department of General Surgery, The Affiliated People's Hospital of Jiangsu University, Suzhou 215000, Jiangsu Province, China
Yong-You Wu, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Soochow University, Suzhou 215008, Jiangsu Province, China
Co-first authors: Yu-Jing Liu and Chen Zou.
Author contributions: Liu YJ collected data and wrote the manuscript; Zou C revised the manuscript; Wu YY reviewed the manuscript; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-You Wu, MM, PhD, Chief Doctor, Professor, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Suzhou 215008, Jiangsu Province, China. wuyongyou72@163.com
Received: November 13, 2023
Peer-review started: November 13, 2023
First decision: December 18, 2023
Revised: January 11, 2024
Accepted: February 18, 2024
Article in press: February 18, 2024
Published online: March 16, 2024
Abstract
BACKGROUND

Clear cell sarcoma (CCS) is a rare soft-tissue sarcoma. The most common metastatic sites for CCS are the lungs, bones and brain. CCS is highly invasive and mainly metastasizes to the lung, followed by the bone and brain; however, pancreatic metastasis is relatively rare.

CASE SUMMARY

We report on a rare case of CCS with pancreatic metastasis in a 47-year-old man. The patient had a relevant medical history 3 years ago, with abdominal pain as the main clinical manifestation. No abnormalities were observed on physical examination and the tumor was found on abdominal computed tomography. Based on the medical history and postoperative pathology, the patient was diagnosed with CCS with pancreatic metastasis. The patient was successfully treated with surgical interventions, including distal pancreatectomy and splenectomy.

CONCLUSION

This report summarizes the available treatment modalities for CCS and the importance of regular postoperative follow-up for patients with CCS.

Keywords: Clear cell sarcoma, Pancreas, Metastasis, Follow-up, Case report

Core Tip: Clear cell sarcoma (CCS) is a rare soft tissue sarcoma accounting for less than 1% of sarcomas and was originally reported in 1965. CCS is a type of highly invasive cancer which mainly metastasizes to the lungs, followed by the bones and brain, but pancreatic metastasis is relatively rare. Here, we give details of the clinical manifestations and imaging features of a case of metastatic CCS of the pancreas.