Long-Term Survival of a Case with Advanced Pancreatic Cancer Involving Para-Aortic Lymph Node Metastasis Treated with Multidisciplinary Therapy

Abstract

We report a case of long-term survival with advanced pancreatic cancer involving para-aortic lymph node metastasis treated with multidisciplinary therapy. A 56-year-old man had a pancreatic tail carcinoma (30mm in diameter) with para-aortic lymph node swelling. He underwent distal pancreatectomy with splenectomy, transverse colectomy, and adrenalectomy. Pathological findings was papillary adenocarcinoma with #16 lymph node metastasis (pT3 M1: JPS Stage Ⅳb UICC Stage Ⅳ). After surgery, he treated with gemcitabine, S-1, and he survived for 51 months. This case suggest that multidisciplinary therapy can prolong the survival of the advanced pancreatic cancer involving para-aortic lymph node metastasis by the appearance of the effective adjuvant therapy.