Pancreatic sarcomatoid carcinoma: An unusual evolution

Sarcomatoid carcinoma of the pancreas is a very rare pancreatic tumor that usually has a poor prognosis. However, we report here an exceptional case of long term evolution of this malignancy. The patient was a 73-year-old man who was operated of a sarcomatoid carcinoma of the pancreas 10 years ago. He received adjuvant chemotherapy with gemcitabine. Our patient was followed-up regularly. A routine check-up revealed that the patient was free of tumor recurrence and metastasis during 10 years. After this period of recovery, the patient presented a colonic obstruction due to a metastatic disease . Indeed, the early stage and the radical treatment may enhance the prognosis of sarcomatoid carcinoma. Also, this report demonstrates a rare presentation of pancreatic cancer with colonic metastatic obstruction.