Large Desmoid Tumor of the Pancreas: A Report of a Rare Case and Review of the Literature

Alexis Litchinko; Camille Brasset; Matthieu Tihy; Marie-Laure Amram; Frederic Ris

doi:10.12659/AJCR.937324

15 November 2022 : Case report Switzerland

Large Desmoid Tumor of the Pancreas: A Report of a Rare Case and Review of the Literature

Rare disease

Alexis Litchinko^1ABCDEF*, Camille Brasset

^1AB, Matthieu Tihy

^2AB, Marie-Laure Amram^3AB, Frederic Ris

^1ABCDEF

DOI: 10.12659/AJCR.937324

Am J Case Rep 2022; 23:e937324

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Table 1. Summary of the previous case reports of pancreatic desmoid tumors and the present case.

Publication [reference no]	Year	Age [years]	Gender	Symptoms
Roggli et al []¹⁵	1980	0.33	M	Tachypnea/fever
Bruce et al []¹⁶	1996	38	M	Asymptomatic
Sedivy et al []¹⁷	2002	68	F	Weight loss/nausea
Nursal et al []¹⁸	2003	39	M	Epigastric/back pain
	2003	25	F	Epigastric/back pain
Pho et al []¹⁹	2005	17	M	Weight loss/chest pain
Weiss et al []²⁰	2006	63	M	Abdominal fullness/epigastric pain
Amiot et al []²¹	2008	51	F	Weight loss, epigastric pain with dorsal irradiation and nausea
Polistina et al []²²	2010	68	M	Asymptomatic
Rao et al []²³	2013	11	M	Asymptomatic
Xu et al []²⁴	2013	17	M	Epigastric pain/nausea
Kim et al []²⁵	2014	33	F	Abdominal pain
	2014	49	F	Abdominal discomfort
	2014	72	M	Asymptomatic
	2014	40	M	Abdominal pain
Jia et al []²⁶	2014	41	M	Weight loss/epigastric pain
Gerleman et al []²⁷	2015	63	F	Abdominal pain
Słowik-Moczydłowska et al []²⁸	2015	13	M	Abdominal pain in left hypochondrium
Tsukamoto et al []²⁹	2016	75	F	Asymptomatic
Wang et al []³⁰	2016	57	F	Weight loss/epigastric pain
Jafri et al. []³¹	2017	54	F	Weight loss/dysphagia
Torres et al []⁷	2017	15	M	Abdominal pain/nausea
Dallaire et al []³²	2018	39	F	Abdominal pain in left hypochondrium
Khanna et al []³³	2020	45	M	Abdominal pain/nausea
Shayesteh et al []³⁴	2020	66	M	Asymptomatic
Xuesong et al []³⁵	2020	17	M	Abdominal pain/melena
Sugimachi et al []³⁶	2020	52	F	Asymptomatic
Stone et al []³⁷	2020	72	M	Asymptomatic
Park et al []³⁸	2021	23	F	Epigastric pain
Alghamdi et al []³⁹	2021	42	M	Abdominal pain in left hypochondrium

^* No mention of recurrence; N/A – non-applicable; m. – months; y. – years.
Publication [reference no]	Type of surgery	Size [cm]	Weight [g] Follow-up		Outcome
Roggli et al []¹⁵	Autopsy	N/A	N/A	N/A	Death
Bruce et al []¹⁶	Radical resection pancreatic mass	5.0×4.5×2.1	28	2 y.	No recurrence
Sedivy et al []¹⁷	Radical resection pancreatic mass	1.5	N/A	N/A	N/A
Nursal et al []¹⁸	Incisional biopsies of the pancreas	7.5×4.0	N/A	N/A	N/A
	Pancreas/adnexal masses biopsied	8.5×5.0	N/A	N/A	N/A
Pho et al []¹⁹	Left pancreatectomy with spleen preservation	2.8×4.2	N/A	2 y.	Recurrence
Weiss et al []²⁰	Distal pancreatectomy and splenectomy	6.5	N/A	9 m.	No recurrence
Amiot et al []²¹	Distal splenopancreatectomy with en-bloc resection of the splenic colonic flexure	6.0	N/A	18 m.	No recurrence
Polistina et al []²²	Left pancreatectomy with spleen preservation	5.0	N/A	5 y.	No recurrence
Rao et al []²³	Distal pancreatectomy and splenectomy	10.0×8.8×7.5	N/A	10 m.	No recurrence
Xu et al []²⁴	Central pancreatectomy	8.6×6.0	N/A	40 m	No recurrence
Kim et al []²⁵	Pancreaticoduodenectomy	2.3	N/A	14 m.	Alive
	Left pancreatectomy	1.5	N/A	9 m.	Alive
	Left pancreatectomy	5.0	N/A	4 m.	Alive
	Biopsies of the pancreas	8.0	N/A	17 m.	Alive
Jia et al []²⁶	Pancreaticoduodenectomy	1.9	N/A	2 y.	No recurrence
Gerleman et al []²⁷	Left pancreatectomy with spleen preservation	4.8×5.8×5	N/A	1 y.	No recurrence
Słowik-Moczydłowska et al []²⁸	Distal splenopancreatectomy with en-bloc resection of the left colonic flexure	10×10	N/A	19 m.	No recurrence
Tsukamoto et al []²⁹	Distal pancreatectomy and splenectomy	8	N/A	21 m.	No recurrence
Wang et al []³⁰	Bypass surgery/COX-2 inhibitor celecoxib	10	N/A	2 y.	No recurrence
Jafri et al. []³¹	Pancreaticoduodenectomy	5.2×4.2	N/A	N/A	N/A
Torres et al []⁷	Radical resection pancreatic mass	20.0×14.0	N/A	2 m.	No recurrence
Dallaire et al []³²	Distal pancreatectomy and splenectomy	9.2	N/A	N/A	N/A
Khanna et al []³³	Distal pancreatectomy with splenectomy, partial gastrectomy and partial duodenectomy	12.0×10.0×10.0	N/A	N/A	N/A
Shayesteh et al []³⁴	Distal pancreatectomy and splenectomy	3.0	N/A	8 m.	No recurrence
Xuesong et al []³⁵	Distal pancreatectomy with splenectomy and a partial gastrectomy	N/A	N/A	6 m.	No recurrence
Sugimachi et al []³⁶	Left pancreatectomy with spleen	20	N/A	N/A	N/A
	preservation
Stone et al []³⁷	Distal pancreatectomy and splenectomy with resection of the posterior gastric wall	5.6	N/A	6 m.	No recurrence
Park et al []³⁸	Distal pancreatectomy and splenectomy and partial resection of the stomach, transverse colon and 4 portion of the duodenum	10.0	N/A	3 y.	No recurrence
Alghamdi et al []³⁹	Extended left pancreatectomy and splenectomy, transverse colectomy and left adrenalectomy	26.0×17.0×9.0	3600	5 y.	No recurrence

^* No mention of recurrence; N/A – non-applicable; m. – months; y. – years.

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Large Desmoid Tumor of the Pancreas: A Report of a Rare Case and Review of the Literature

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