2016 Volume 49 Issue 10 Pages 1023-1028
A 57-year-old man underwent distal pancreatectomy for pStage III pancreatic tail cancer at the age of 52, and received postoperative adjuvant chemotherapy. Three years and ten months after the operation, multiple lung metastases and hilar lymph node metastases were detected, and chemotherapy was started. Suddenly he complained of dysphagia during chemotherapy. Head CT and MRI showed an irregular mass of the right occipital bone. We concluded that his dysphagia was caused by a hypoglossal nerve disorder due to the occipital bone metastasis. We performed stereotactic radiation therapy, but none of its effects were recognized. The patient died four years and eight months after the operation.
