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Mesenchymal chondrosarcoma metastasising to the pancreas
  1. Christoph Paasch1,
  2. Gianluca De Santo2,
  3. Katherina Renate Boettge2 and
  4. Martin W Strik2
  1. 1 General Surgery, Helios Klinikum Berlin-Buch, Berlin, Germany
  2. 2 General Surgery, Helios Klinikum Berlin-Buch, Berlin, Germany
  1. Correspondence to Dr Christoph Paasch, christoph.paasch{at}


The mesenchymal chondrosarcoma (MC) is a rare malignant tumour and accounts for less than 3% of primary chondrosarcomas. Mostly MC arises from the craniofacial bones, the ribs, the ilium, the femur and the vertebrae. A 54-year-old man was treated due to an icterus of unknown origin. The medical history of the patient consists of a multimodal treated MC of the thoracic vertebrae. A CT imaging identified a 2×4 cm sized mass of the pancreatic head. Suspecting a pancreatic head carcinoma surgical removal was performed. Histopathological a metastasis of MC was diagnosed. Our patient left the hospital after 17 days and died 23 month after surgery. Metastases of MC to the pancreas are rare. When detecting a mass of the pancreas in patients with a medical history of an MC, a metastasis of these tumour should be taken in consideration.

  • pancreas and biliary tract
  • cardiothoracic surgery
  • surgical oncology
  • orthopaedic and trauma surgery

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  • Contributors CP, GDS, KRB and MWS took care of the patient. CP, GDS, KRB wrote the report. MWS evaluated the draft and suggested revisions. All authors have read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.