case_images: PMC8714648_01
case_images: Computed tomography (CT) scan showed a retroperitoneal soft tissue density mass, 11 cm in size, which is closely related to the liver, first and third hepatic portals, portal vein, hepatic artery, and pancreas.
case_images: fsurg-08-764901-g0001.jpg
case_images: PMC8714648_01_fsurg-08-764901-g0001.jpg
case_images: F1
case_images: Enhanced upper abdominal computerized tomography (CT) showed a soft tissue density mass 11 cm in diameter (Figure 1).
case_images: (A) After removal of the tumor from the abdominal cavity and (B) after the reconstruction of digestive tract.
case_images: fsurg-08-764901-g0002.jpg
case_images: PMC8714648_01_fsurg-08-764901-g0002.jpg
case_images: F2
case_images: According to the results, we performed pancreaticoduodenectomy, perihilar hepatectomy, neoplasty of high bile duct, partial resection and repair of the main portal vein, partial resection and repair of the right portal vein, repair of the right hepatic artery, and reconstruction of the digestive tract (Figure 2).
case_images: The surgical specimen showed that the tumor was a well-delineated solitary mass, and that the actual size was ~17 x 12 cm. The section of the tumor showed a pale and solid mass, which is relatively tough.
case_images: fsurg-08-764901-g0003.jpg
case_images: PMC8714648_01_fsurg-08-764901-g0003.jpg
case_images: F3
case_images: The tumor was solitary and solid with an off-white cross-section (Figure 3).
case_images: Pathological images showed spindle cells with involvement of the pancreas, duodenal serosa, and serosa of the gallbladder. No lymph node metastasis was found.
case_images: fsurg-08-764901-g0004.jpg
case_images: PMC8714648_01_fsurg-08-764901-g0004.jpg
case_images: F4
case_images: Microscopically, the tumor was predominantly made of spindle cells, and the margin of resection was negative (Figure 4).