Document Detail

A case of primary vertebral osteosarcoma metastasizing to pancreas.
MedLine Citation:
PMID:  19581752     Owner:  NLM     Status:  MEDLINE    
CONTEXT: Osteosarcoma is the most common malignant bone tumor in children and adolescents and possesses a high potential for metastasis. The most common sites of osteosarcomatous metastases are the lungs, pleurae, and bone; the pancreas being extremely rare. CASE REPORT: We report the computed tomography findings of a rare case of pancreatic metastasis in a 14-year-old boy with primary vertebral osteosarcoma being followed-up for 6 years. On abdominal CT, a huge mass containing necrotic and calcified areas and causing bone destruction was seen between thoracic vertebra 7 and sacral vertebra 1 involving both the vertebrae and paravertebral soft-tissue. A large metastatic mass with an irregular contour was also visualized in the pancreatic head and peripancreatic region having tomographic findings similar to the vertebral mass. Tru-cut biopsy of the pancreatic mass confirmed the diagnosis of osteosarcoma metastasis. CONCLUSIONS: Although extremely rare, osteosarcoma metastasis should be included in the differential diagnosis of pancreatic mass lesions, particularly in patients with a primary tumor.
Serhat Avcu; Hüseyin Akdeniz; Harun Arslan; Nurşen Toprak; Ozkan Unal
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-06
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  10     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2009  
Date Detail:
Created Date:  2009-07-07     Completed Date:  2009-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  438-40     Citation Subset:  IM    
Department of Radiology, Yüzüncü Yil University School of Medicine, Van, Turkey.
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MeSH Terms
Bone Neoplasms / pathology*
Follow-Up Studies
Osteosarcoma / pathology*
Pancreatic Neoplasms / diagnosis,  secondary*
Tomography, X-Ray Computed

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