Authors
Jian-Hao Zhang, Qiu-Bo Xu
Published in
Clinical laboratory. Volume 72. Issue 8. Aug 01, 2026.
Abstract
Sarcomatoid carcinoma of the pancreas (SCP) is an exceptionally rare variant of pancreatic ductal adenocarcinoma. A detailed evaluation of its clinical manifestations, laboratory findings, and imaging characteristics may contribute to earlier detection and intervention, thereby improving survival outcomes and quality of life.
We retrospectively reviewed the clinical presentation, laboratory investigations, and imaging findings of a patient with pathologically confirmed SCP. In addition, relevant literature was analyzed to summarize strategies for early screening and diagnosis.
A 78-year-old female presented with persistent dull epigastric pain accompanied by nausea and vomiting. Laboratory evaluation revealed elevated CA19-9 levels. Imaging demonstrated a mass in the pancreatic body and tail. Dynamic contrast-enhanced CT showed moderate heterogeneous enhancement in the arterial phase with progressive enhancement during the portal venous phase. Dynamic contrast-enhanced MRI revealed rim enhancement.
The integration of serum CA19-9 measurement with characteristic imaging features may facilitate the early identification of SCP.
PMID:
42570652
Bibliographic data and abstract were imported from PubMed on 09 Aug 2026.
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