Case Report
Pancreatic Myeloid Sarcoma Causing Obstructive Jaundice: A Case Report and Literature Review
Table 1
Clinical characteristics, treatment, and outcomes of previously reported pancreatic MS cases (1–18) and our case (19).
| | # | Date | Age | Gender | Chief complaint(s) | Coexisting malignancy? | Location | Obstructive jaundice? | EUS? | MRCP/ERCP? | Stent? | Biopsy method | Treatment | Outcome | Citation # |
| | 1 | 1987 | 36 | F | Nausea, jaundice, and abd pain | N | Head | Y | N | N | N | Open | Gastrojejunostomy, cholecystojejunostomy, radiotherapy, and chemotherapy | Resolution | 21 | | 2 | 1996 | 32 | M | Jaundice and abd pain | N | Head | Y | N | N | N | Open | Whipple and chemotherapy | Resolution | 5 | | 3 | 1997 | 37 | F | Jaundice and abd pain | AML | Head | Y | N | N | N | Autopsy | Chemotherapy | Death | 8 | | 4 | 1999 | 31 | M | Abd pain | N | Head | Y | N | ERCP | Y | 1. FNA, 2. Open | Chemotherapy | Resolution | 14 | | 5 | 1999 | 61 | F | Abd pain | AML | Head | N | N | N | N | Unknown | Chemotherapy | Death | 14 | | 6 | 2003 | 42 | F | Abd pain and fatigue | AML | Body/tail | N | N | N | N | CT-guided | Chemotherapy | Resolution | 13 | | 7 | 2003 | 64 | M | Diarrhea, abd pain, and jaundice | AML | Head | Y | N | N | N | CT-guided | Percutaneous biliary drains and chemotherapy | Resolution | 15 | | 8 | 2008 | 75 | F | Abd pain, weight loss, epistaxis, and jaundice | AML | Head | Y | N | N | N | Gastric mucosa | Chemotherapy | Resolution | 11 | | 9 | 2010 | 40 | M | Jaundice and weight loss | N | Head | Y | N | MRCP | N | Open | Whipple and chemotherapy | Resolution | 9 | | 10 | 2010 | 15 | F | Jaundice | AML | Head | Y | N | N | N | Autopsy | None | Death | 10 | | 11 | 2011 | 48 | F | Abd pain and fever | N | Body/tail | N | N | N | N | Open | Splenectomy and distal pancreatectomy | Death | 18 | | 12 | 2012 | 45 | F | Abd pain and jaundice | N | Head | Y | Y | N | N | Open | Whipple and chemotherapy | Death | 16 | | 13 | 2012 | 19 | F | Abd pain | N | Head | N | Y | N | N | Open | Resection and chemotherapy | Death | 16 | | 14 | 2016 | 19 | M | Abd pain | AML | Head | N | Y | N | N | EUS-guided FNA | Chemotherapy | Unknown | 12 | | 15 | 2018 | 34 | M | Abd pain | N | Body/tail | N | N | N | N | Laparoscopic | Chemotherapy | Resolution | 19 | | 16 | 2018 | 36 | M | Abd pain | N | Body/tail | Post-EUS | Y | ERCP | Y | 1. EUS-guided FNA, 2. U/S-guided FNA | Chemotherapy | Unknown | 17 | | 17 | 2020 | 57 | F | Weakness, abd pain, and jaundice | N | Head | Y | N | N | N | Open | Whipple and chemotherapy | Unknown | 22 | | 18 | 2021 | 32 | F | Abd pain | AML | Head | Y | Y | N | N | 1. EUS-guided FNA, 2. U/S-guided FNA | Chemotherapy | Unknown | 20 | | 19 | 2021 | 70 | M | Abd pain and jaundice | AML | Head | Y | Y | ERCP | Y | EUS-guided FNA | Chemotherapy | Resolution | Our case |
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