[Fibrosarcoma of the pancreas].

Fibrosarcoma of the pancreas is a very rare tumour. Its localisation in any part of the pancreas causes various dominant symptoms. Tumour is often enormously enlarged, very vascular, often with central necrosis and penetration into the gastric wall causing ulcers and bleeding. Prognosis of the tumour is not always bad due to low malignancy. The authors describe a 53-year-old woman with fibrosarcoma of the pancreatic body. The first symptom was an epigastric pain when subcardial gastric ulcer was diagnosed and conservatively treated. One year later a huge palpable epigastric tumour was found with massive gastrointestinal bleeding as a dominant symptom. Gasher was dislocated from the less curvature side by the tumour. During the operation a great, solid and highly vascular tumour was removed, 2100 grams of weight and 15 cm in diameter Subtotal gastric resection with Billroth II anastomosis was done because of the infiltration of the posterior gastric wall and bleeding ulceration. Histopathology showed the first stage malignany of pancreatic fibrosarcoma. The patient is symptom free, without local recidivation and distant metastases over 3 years after the operation.