Primary Leiomyosarcoma of the Pancreas with Scalp Metastasis: A Case Report and review of the literature

Abstract

Abstract Background Primary pancreatic leiomyosarcoma (PLMS) is a rare sarcomaPLMS is an invasive tumor with a poor prognosis. The typical sites of metastases for PLMS include the liver and lung among others. Distant metastase to the scalp are rarely reported. Case Presentation We report a 36 year-old woman with a history of Primary Leiomyosarcoma of the Pancreas. The patient first noticed a protrusion on the left occipital region while combing her hair some time before her initial visit . She paid little attention to the mass at that time.During treatment, the mass in the left occipital region gradually increased in size.A biopsy of the scalp lesion was performed.Results showed metastatic leiomyosarcoma. Conclusion Therefore, to catch subtle historical and physical exam findings in the clinical setting, patients with cancer or concern for cancer should receive a detailed physical examination and clinical history, especially on initial presentation. Moreover, when a patient develops a new, persistent, or sudden skin lesion, they should attach great importance to said lesion, with vigilance to the possibility of skin metastasis or other cutaneous manifestation of cancer.