Table of Contents    
Case Report
 
A very rare case of pancreatic head glomangiomyoma successfully treated by enucleation
Luis Cesar Bredt1, Andre Keijy Kajimura Petri1, Fernanda Matsue Ezure Bredt1, Ellan Giulianno Ferreira1, Tiago Cesar Mierzwa1, Milton Neckel Junior1
1MD, Department of Abdominal Surgery, Hepatobiliary Section, Cancer Hospital-UOPECCAN, Cascavel, PR, Brasil.

Article ID: 100014IJHPDLCB2013
doi: 10.5348/ijhpd-2014-15-CR-3

Address correspondence to:
Ellan Giulianno Ferreira
Rua Marechal Floriano
3518, ap 102, Centro
Cascavel, Paraná
BRASIL. Postal Code: 85810-190
Phone: +55(45)9946-6054
Fax: +55(45)2101-7005
Email: ellan@hotmail.com.br

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How to cite this article:
Bredt LC, Petri AKK, Bredt FME, Ferreira EG, Mierzwa TC, Junior MN. A very rare case of pancreatic head glomangiomyoma successfully treated by enucleation. Int J Hepatobiliary Pancreat Dis 2014;4:10–14.


Abstract
Introduction: Glomangiomyoma or glomus tumor is a tumor of mesenchymal origin, usually benign forms of terminal glomus or glomus body, which is specialized form of arteriovenous anastomosis subcutanea with intervening in the regulation of blood flow and temperature. This tumor is extremely rare, and can be classified according to his histology in: glomangioma (60%), solid glomus tumor (25%), and glomangiomyoma (15%). The glomangiomyoma is frequently located in the lower extremities and the treatment of choice for isolated this tumor is surgical excision. Pancreatic glomus tumors are quite rare, with only one case reported in English literature.
Case Report: We report the second case in English literature of a glomangiomyoma in the pancreas of a 65-year-old male. The rarest variant of glomus tumor was 8 cm in diameter and the treatment consisted of tumor enucleation, the patient is alive with no evidence of recurrence 24 months after surgery.
Conclusion: Glomangiomyoma is a tumor that mainly affects the lower limbs, but in rare cases, as reported, can affect other structures, as reported in the pancreatic head. The surgical treatment with enucleation is curative.

Keywords: Glomangiomyoma, Enucleation, Pancreatic head, Glomus tumor


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Author Contributions
Luis Cesar Bredt – Substantial contributions of Conception and design, Acquisition of data, Critical revision of the article, Final approval of the version to be published
Andre Keijy Kajimura Petri – Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Fernanda Ezure Bredt – Acquisition of data, Drafting the article, Final approval of the version to be published
Ellan Giulianno Ferreira – Substantial contributions of Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published br> Tiago Cesar Mierzwa – Substantial contributions of Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Milton Neckel Junior – Substantial contributions of Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Luis Cesar Bredt et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.