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Jitendra H Mistry et al















          A                               B                              C
                 Figs 1A to C: (A) Axial section CT scan of abdomen showing heterogeneously enhancing lesion in body and tail of
                     pancreas with cystic components, (b) port placements and (C) specimen of distal pancreatosplenectomy
















          A                                 B                                 C
                               Figs 2A to C: (A) H&E staining, (b) bizarre spindle cells and (C) h-Caldesmon

          concLuSIon                                            2.  Hur YH, Kim HH, Park EK, Seoung JS, Kim JW, Jeong YY, Lee JH,
                                                                  Koh YS, Kim JC, Kim HJ, Cho CK. Primary leiomyosarcom of
          Pancreatic leiomyosarcoma is very rare tumor with poor   the pancreas. J Korean Surg Soc 2011;81:s69-73.
          prognosis. Although, it is too early to recommend but lapa­    3.  American Cancer Society: facts and figures. Atlanta, GA; 2002.
          roscopic resection of this tumor is feasible.         4.  Dimicoli S, Feugier P, Delaby P, et al. Granulocyte sarcoma
                                                                  of the pancreas without extrapancreatic involvement. Presse
                                                                  Medicale 2002;31(22):1024-1026.
          referenceS                                            5.  Aihara H, Kawamura YJ, Toyama N, Mori Y, Konishi F, Yamada
                                                                  S. A small leiomyosarcoma of the pancreas treated by local
            1.  Riddle ND, Quigley BC, Browarsky I, Bui MM. Leiomyo-  excision. HPB 2002;4(3):145-148.
              sarcoma arising in the pancreatic duct: a case report and review of      6.  Jusoh AC, Ammori BJ. Laparoscopic versus open distal pan-
              the literature. Case Report in Medicine. Article ID 252364;2010:   createctomy: a systematic review of comparative studies. Surg
              1­4.                                                Endosc 2012;26(4):904-913.
































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